子宫动脉栓塞术联合全程优质护理在妇产科急诊出血患者中的应用效果
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摘要
目的探讨子宫动脉栓塞术(UAE)联合全程优质护理在妇产科急诊出血患者中的应用效果。方法选取2013年3月～2018年11月我院妇产科收治的60例出血急诊患者作为研究对象,按照随机数字表法分为对照组(30例)和观察组(30例)。对照组采用保守治疗和常规护理,观察组采用急诊行UAE与全程优质护理。比较治疗后两组的相关观察指标以及临床治疗结局。结果观察组的发热时间和阴道流血时间显著短于对照组,差异有统计学意义(P<0.05);观察组的子宫切除率显著低于对照组,彻底止血率显著高于对照组,差异均有统计学意义(P<0.05)。结论经股动脉穿刺插管行双侧UAE治疗妇产科急诊出血患者效果显著,能够有效止血,缩短患者阴道流血时间,同时加强相关护理工作,能够改善其预后水平。
Objective To explore the effect of uterine artery embolization(UAE) combined with whole-course highquality nursing in patients with emergency obstetric and gynecological bleeding.Methods A total of 60 emergency patients with hemorrhage admitted to Department of Gynecology and Obstetrics in our hospital from March 2013 to November 2018 were selected as the research objects.They were divided into control group(30 cases) and observation group(30 cases) according to random number table method.The control group was treated with conservative treatment and routine nursing,while the observation group was treated with UAE and whole course quality nursing.Relevant observation indexes and clinical outcome of two groups after treatment were compared.Results The fever time and vaginal bleeding time in the observation group were significantly shorter than those in the control group,with statistical significance(P <0.05);the hysterectomy rate in the observation group was significantly lower than that in the control group,and the complete hemostasis rate was significantly higher than that in the control group,with statistical significance(P<0.05).Conclusion Bilateral UAE via femoral artery puncture and intubation is effective in the treatment of emergency obstetric and gynecological hemorrhage,which can effectively stop bleeding,shorten the time of vaginal bleeding,and strengthen the related nursing work,and improve the prognosis level.
Objective To explore the effect of uterine artery embolization(UAE) combined with whole-course highquality nursing in patients with emergency obstetric and gynecological bleeding.Methods A total of 60 emergency patients with hemorrhage admitted to Department of Gynecology and Obstetrics in our hospital from March 2013 to November 2018 were selected as the research objects.They were divided into control group(30 cases) and observation group(30 cases) according to random number table method.The control group was treated with conservative treatment and routine nursing,while the observation group was treated with UAE and whole course quality nursing.Relevant observation indexes and clinical outcome of two groups after treatment were compared.Results The fever time and vaginal bleeding time in the observation group were significantly shorter than those in the control group,with statistical significance(P <0.05);the hysterectomy rate in the observation group was significantly lower than that in the control group,and the complete hemostasis rate was significantly higher than that in the control group,with statistical significance(P<0.05).Conclusion Bilateral UAE via femoral artery puncture and intubation is effective in the treatment of emergency obstetric and gynecological hemorrhage,which can effectively stop bleeding,shorten the time of vaginal bleeding,and strengthen the related nursing work,and improve the prognosis level.
引文
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[10]周蕾,黄敬华.超选择子宫动脉栓塞术治疗难治性产后出血的临床分析[J].医药,2012,41(8):494-503.
[11]Li Mao.Clinical study of comprehensive nursing combined with bilateral uterine artery embolization in the treatment of massive hemorrhage during cesarean section[J].J Pract Clin Med,2016,20(14):105-107.
[12]Meng Qingxia.Clinical Value of Fine Nursing in the Treatment of Acute Uterine Hemorrhage by Uterine Artery Embolization[J].Everybody′s Health(Late Edition),2017,11(6):169.
[13]Yang Liping.Clinical value of meticulous nursing on acute uterine bleeding treated by uterine artery embolization[J].Today′s Health,2016,15(8):254.
[14]吴媛媛.子宫动脉栓塞术治疗瘢痕妊娠大出血的整体护理[J].中国实用医药,2015,12(33):221-222.
[15]孙曼.综合护理配合双侧子宫动脉栓塞术治疗剖宫产术中大出血的临床效果研究[J].健康前沿,2015,22(12):36-37.
[2]袁英,曾俊仁,李渊渊,等.子宫动脉栓塞治疗妇产科急性子宫大出血及有大出血风险患者26例疗效分析[J].中国医药指南,2016,14(7):88-89.
[3]丁转南.产后大出血介入治疗效果分析[J].深圳中西医结合杂志,2017,27(12):189-190.
[4]李巨,于月新,郑莉彦,等.子宫体双侧弓形动脉缝扎术用于剖宫产术中子宫收缩乏力性出血的临床研究[J].中华妇产科杂志,2013,48(3):165-170.
[5]Gizzo S,Saccardi C,Patrelli TS,et al.Fertility rate and subsequent pregnancy outcomes after conservative surgical techniques in postpar-tum hemorrhage:15 years of literature[J].Fertil Steril,2013,99(7):2097-2107.
[6]史碧云,徐亚娟,上官亚娟,等.子宫纵向压迫缝合术在剖宫产术中宫缩乏力性产后出血的运用[J].吉林医学,2013,34(11):2093-2094.
[7]魏岩,汪俊丽.改良B-Lynch缝合术联合卡前列素氨丁三醇治疗剖宫产术中宫缩乏力性出血的临床效果与安全性探讨[J].现代仪器与医疗,2015,21(3):46-48.
[8]陈青香.肝针缝合在剖宫产术中子宫收缩乏力性出血的临床效果评价[J].上海医药,2015,36(1):52-53.
[9]姜群英,苏雪梅,司马玲,等.简易子宫压迫缝合术在防治剖宫产术中宫缩乏力性出血中的临床应用[J].中华妇幼临床医学杂志(电子版),2014,10(1):59-61.
[10]周蕾,黄敬华.超选择子宫动脉栓塞术治疗难治性产后出血的临床分析[J].医药,2012,41(8):494-503.
[11]Li Mao.Clinical study of comprehensive nursing combined with bilateral uterine artery embolization in the treatment of massive hemorrhage during cesarean section[J].J Pract Clin Med,2016,20(14):105-107.
[12]Meng Qingxia.Clinical Value of Fine Nursing in the Treatment of Acute Uterine Hemorrhage by Uterine Artery Embolization[J].Everybody′s Health(Late Edition),2017,11(6):169.
[13]Yang Liping.Clinical value of meticulous nursing on acute uterine bleeding treated by uterine artery embolization[J].Today′s Health,2016,15(8):254.
[14]吴媛媛.子宫动脉栓塞术治疗瘢痕妊娠大出血的整体护理[J].中国实用医药,2015,12(33):221-222.
[15]孙曼.综合护理配合双侧子宫动脉栓塞术治疗剖宫产术中大出血的临床效果研究[J].健康前沿,2015,22(12):36-37.