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目的:探讨人工流产术过程中不同疗法对子宫瘢痕妊娠大出血患者的处理效果.方法:回顾性分析52例经人工流产术治疗且术中出现大出血的子宫瘢痕妊娠病例资料,根据不同疗法将其分成对照组(n=25)和观察组(n=27).对照组接受传统催产素局部注射,观察组选择垂体后叶素治疗,评估两组的止血效果.结果:观察组的术中出血量相比对照组显著减少,且止血时间、住院时间均显著缩短,差异有统计学意义(P<0.05).通过测定血红蛋白浓度,提示两组出血前浓度差异无统计学意义(P>0.05).出血后,观察组的平均浓度(102.8±3.5)g/L,显著高于对照组的(90.2±2.4)g/L,差异有统计学意义(P<0.05).结论:在人工流产术中予垂体后叶素注射,相对更利于控制子宫瘢痕妊娠患者的大出血症状,并促进患者早日恢复,值得推荐.
Objective: To investigate the treatment effect of different therapies on patients with massive uterine scar pregnancy during the induced abortion.Methods: The data of 52 cases of uterine scar pregnancy treated by artificial abortion and intraoperative bleeding were retrospectively analyzed and classified according to different therapies Control group (n = 25) and observation group (n = 27) .The control group received conventional injection of oxytocin and the observation group chose vasopressin treatment to evaluate the hemostatic effect of the two groups.Results: The intraoperative blood loss (P <0.05) .Through the determination of hemoglobin concentration, suggesting that there was no significant difference between the two groups before bleeding (P> 0.05) .Conclusion: 1. After hemorrhage, the average concentration of the observation group was (102.8 ± 3.5) g / L, which was significantly higher than that of the control group (90.2 ± 2.4) g / L, the difference was statistically significant (P0.05) .Conclusion: To pituitrin injection, relatively more conducive to control the bleeding in patients with uterine scar pregnancy symptoms, and promote early recovery of patients, it is recommended.