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目的分析剖宫产术中大出血原因并观察防控措施的效果。方法选取医院收治的剖宫产术中大出血产妇60例为研究对象,按照是否接受防控措施分为观察组和对照组,每组30例,对照组采用常规护理,观察组采用剖宫产术中大出血的防控措施,观察组剖宫产产妇术中大出血的发病原因,2组产妇剖宫产术中出血量及满意度。结果剖宫产产妇术中大出血的发病原因主要有:子宫收缩乏力、胎盘因素、子宫收缩乏力联合胎盘因素、子宫切口延长,分别占60.00%、26.67%、10.00%、3.33%;观察组满意度为96.67%,高于对照组的73.33%(P<0.05);观察组剖宫产术中出血量为(612.42±123.05)ml,低于对照组的(908.35±212.40)ml(P<0.01)。结论剖宫产术中大出血的原因有多种,加强剖宫产术中大出血的防控措施十分重要。
Objective To analyze the cause of major bleeding in cesarean section and to observe the effect of prevention and control measures. Methods 60 cases of maternal bleeding in cesarean section admitted to hospital were selected as research objects. According to the prevention and control measures, 30 cases were divided into observation group and control group. The control group received routine nursing. The observation group was treated with cesarean section Prevention and control measures of bleeding in middle school, observation group cesarean section maternal causes of bleeding, cesarean section in two groups of bleeding and satisfaction. Results The causes of major bleeding in cesarean section were as follows: uterine atony, placenta, uterine atony and placenta, prolonged uterine incision, accounting for 60.00%, 26.67%, 10.00% and 3.33% respectively. The satisfaction of the observation group (96.67%), which was higher than that of the control group (73.33%, P <0.05). The blood loss in the observation group was (612.42 ± 123.05) ml less than that of the control group (908.35 ± 212.40) ml . Conclusion There are many causes of massive bleeding in cesarean section. It is very important to strengthen the prevention and control measures of major bleeding in cesarean section.