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目的:探讨第三产程应用缩宫素及产后子宫按压对产后出血量的影响。方法:抽取符合选入标准的患者,住院分娩120例分为观察组60例和对照组60例。观察组第三产程主动应用缩宫素,产后定时按压宫底,对照组产后出血量达200mL时被动采用缩宫素及宫底按压。采用称重法统计出血量,观察产后2小时内的出血量,均用统一的接生用具及消毒会阴垫。结果:观察组出血量(188±16)mL,对照组出血量(248±18)mL。差别有统计学意义。结论:第3产程主动应用缩宫素及产后按压宫底较被动处理效果显著,产后出血量少。
Objective: To investigate the effect of oxytocin and postpartum uterine pressure on the amount of postpartum hemorrhage during the third stage of labor. Methods: Patients who met the inclusion criteria were selected and 120 cases of hospital delivery were divided into observation group (60 cases) and control group (60 cases). Oxytocin was applied actively in the observation group during the third stage of labor. The postpartum time was pressed to the end of the uterus. The amount of postpartum hemorrhage in the control group was 200 mL. Oxytocin and uterine compression were used passively. Weighing the amount of bleeding using statistics to observe the amount of bleeding within 2 hours after delivery, both with a uniform delivery appliances and disinfection of the perineum pad. Results: The amount of bleeding in the observation group was (188 ± 16) mL and that in the control group was (248 ± 18) mL. The difference was statistically significant. Conclusions: The active labor of the third stage of labor is more effective than the passive treatment of the oxytocin and post-natal vaginal discharge, with less postpartum hemorrhage.