产后定时按摩在预防产后出血中的作用

黎绮云++++++陈春娥++++++吴玲梅

[摘要] 目的 探究产后定时按摩对预防产后出血的作用。 方法 选取2011年2月～2014年2月本院收治的孕妇196例，将其随机均分为实验组和对照组，各98例。对照组在胎儿娩出后，即予以产妇缩宫素10 U及常规护理。实验组在对照组基础上，予以产妇定时子宫按摩。观察两组产妇产后2、24 h出血量及产后出血的发生情况。 结果 实验组产后2 h出血量为（243.21±56.32） ml，产后24 h出血量为（314.28±43.51） ml；对照组产后2 h出血量为（281.47±60.28） ml，产后24 h出血量为（367.93±37.20） ml；两组产后2、24 h出血量比较，差异有统计学意义（P<0.05）。实验组产后出血发生率为1.0%，低于对照组的5.1%，差异有统计学意义（P<0.05）。 结论 产后进行子宫按摩可明显减少产妇产后出血量，并能有效降低产后出血的发生，是临床上预防产后出血十分有效的措施。

[关键词] 子宫按摩；产后出血；预防

[中图分类号] R714.46+1[文献标识码] B[文章编号] 1674-4721（2014）06（b）-0186-02

The effect of postpartum regular massage on the prevention of postpartum hemorrhage

LI Qi-yun CHEN Chun-e WU Ling-mei

Department Obstetrics and gynecology,People′s Hospital of Dongguan City in Guangdong Province,Dongguan 523000,China

[Abstract] Objective To explore the effect of postpartum regular massage on the prevention of postpartum hemorrhage. Methods 196 cases of pregnant women accepted by our hospital from February 2011 to February 2014 were selected,and were divided into experiment group (98 cases) and control group (98 cases).In the control group,after the baby was delivered,10 U oxytocin was used to the maternal.Based on the control group,regular massage was taken postpartum on the experimental group.Postpartum 2 h,24 h amount of bleeding and the incidence of postpartum hemorrhage were observed. Results 2 h postpartum hemorrhage in the experimental group was (243.21±56.32) ml,24 h postpartum hemorrhage was (314.28±43.51) ml;2 h postpartum hemorrhage control group was (281.47±60.28) ml,24 h postpartum hemorrhage was (367.93±37.20) ml,the difference of 2 h and 24 h postpartum hemorrhage between two groups was significant (P<0.05).The incidence of postpartum hemorrhage in experimental group was 1.0%,lower than 5.1% of the control group,the difference was significant (P<0.05). Conclusion Postpartum uterine massage can significantly reduce postpartum bleeding,and can effectively reduce the incidence of postpartum hemorrhage,which is a very effective clinical preventive measures postpartum hemorrhage.

[Key words] Uterine Massage;Postpartum hemorrhage;Prevention

胎儿娩出后24 h内若阴道流血量>500 ml，则称之为产后出血[1]。产后出血是产科常见并发症之一，因出血量大、起病急、进展快，严重威胁着产妇的生命，高居我国产妇死亡原因首位。引起产后出血的原因主要有宫缩乏力、胎盘滞留、胎盘因素、精神因素等。目前，临床大多数治疗方法是在出血发生后，予以止血、控制感染或是将残留胎盘剥离[2]，却少有采取预防的手段来减少产后出血的发生。本文对196例分娩后孕妇进行回顾性分析，探究在分娩后给予子宫按摩对预防产后出血的作用。

1 资料与方法

1.1 一般资料

随机选取2011年2月～2014年2月本院收治的孕妇196例，满足以下条件：①分娩方式均为自然分娩；②胎产式均为头先露；③胎盘胎膜娩出完整；④无贫血、子宫肌瘤、妊娠期高血压等妊娠合并症；⑤无凝血功能障碍；⑥无严重肝肾功能不全等严重疾病。年龄20～35岁，平均（28.1±2.6）岁，孕周36～42周，平均（38.6±3.4）周。……