目的:探讨腹部置冰袋并加压法防治瘢痕子宫患者在剖宫产术后产后出血的临床效果.方法:选择行剖宫产手术的瘢痕子宫(剖宫产史)患者300例,随机分为研究组与对照组各150例.对照组剖宫产术后给予普通腹带加压,研究组给予腹部置冰袋并多头腹带加压固定的方法.比较两组患者术后伤口渗血情况、术后2、24 h阴道出血情况、产后出血发生率.结果:研究组中、重度渗血20例,渗血量平均(22.14 ± 1.54)ml,明显低于对照组中、重度渗血50例,渗血量平均(29.43 ± 2.15)ml,差异有统计学意义(P<0.05);研究组产后出血发生率为1.33%,明显低于对照组的8.00%,差异有统计学意义(P<0.05);研究组术后2、24 h出血量明显低于对照组,差异有统计学意义(P<0.05);两组血红蛋白比较,差异无统计学意义(P>0.05).两组均未不良反应发生.结论:对于瘢痕子宫再次剖宫产术后患者,积极给予腹部置冰袋并加压固定疗法,能明显减少手术切口渗血,并减少产后出血量和产后出血发生率,临床可以推广.%Objective:To investigate the clinical effect of abdominal pressure and the ice bag method in pa-tients with uterine scar in prevention of postpartum hemorrhage after cesarean section.Methods:A total of 300 pa-tients with scar uterus who underwent cesarean section in our hospital were selected,They were randomly divided into study group and control group with 150 cases in each group.The control group was given in compression after caesarean section,the study group received abdominal compression fixation and ice bellyband method.Compared the two groups of patients with postoperative bleeding,2,24 h vaginal bleeding,the incidence of postpartum hemor-rhage.Results:In the observation group,there were 20 cases of moderate and severe bleeding,the average bleeding was(22.14 ± 1.54)ml,It was significantly lower than the control group[Moderate and severe bleeding was found in 50 cases,the average bleeding was(29.43 ± 2.15)ml(P<0.05)];The incidence of postpartum hemorrhage in the observation group(1.33%)was significantly lower than that in the control group(8.00%)(P<0.05);the 2,24 h bleeding volume in the observation group were significantly lower than those in the control group(P <0.05);There was no significant difference between the two groups of hemoglobin(P>0.05);There was no adverse reaction in the two groups.Conclusion:For patients with scar uterus after cesarean section,give positive home ice and abdominal compression fixation therapy,can significantly reduce the surgical incision oozing of blood,and reduce the incidence of postpartum hemorrhage and postpartum hemorrhage,can be popularized in clinic.
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