摘要
目的:探讨氨甲环酸联合物理压迫对剖宫产产妇产后出血量的影响。方法:回顾性分析2022年7月至2024年7月在徐州医科大学附属徐州市立医院接受剖宫产手术的82例产妇,将这些产妇分为两组,观察组(接受氨甲环酸联合物理压迫治疗)和对照组(接受常规治疗),每组各41例。比较两组产后出血量、术后恢复情况以及不良反应发生率。结果:两组产妇产后24 h出血量对比,观察组少于对照组(P<0.05)。两组术后宫缩评分对比,观察组高于对照组(P<0.05)。术后3天,观察组恶露排出量明显少于对照组(P<0.05)。观察组恶露完全排出时间短于对照组(P<0.05)。术后6 h和24 h,观察组D-二聚体水平均低于对照组(P<0.05)。两组不良反应总发生率对比,差异不显著(P>0.05)。结论:氨甲环酸联合物理压迫在减少剖宫产产妇产后出血量中具有较好的应用效果和安全性,值得临床推广应用。
Objective:To investigate the effect of tranexamic acid combined with physical compression on postpartum blood loss in cesarean section patients.Methods:A retrospective analysis was conducted on 82 cesarean section patients admitted to Xuzhou Municipal Hospital Affiliated to Xuzhou Medical University from July 2022 to July 2024.The patients were divided into two groups:the observation group(treated with tranexamic acid combined with physical compression)and the control group(treated with conventional therapy),with 41 cases in each group.Postpartum blood loss,postoperative recovery,and the incidence of adverse reactions were compared between the two groups.Results:The 24-hour postpartum blood loss in the observation group was significantly lower than that in the control group(P<0.05).The postoperative uterine contraction score in the observation group was higher than that in the control group(P<0.05).At 3 days postoperatively,the lochia discharge in the observation group was significantly less than that in the control group(P<0.05),and the time for complete lochia expulsion was shorter in the observation group(P<0.05).At 6 h and 24 h postoperatively,the D-dimer levels in the observation group were lower than those in the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:Tranexamic acid combined with physical compression demonstrates favorable efficacy and safety in reducing postpartum blood loss in cesarean section patients,making it worthy of clinical promotion.
作者
刘颖颖
张伶芝
LIU Yingying;ZHANG Lingzhi(Department of Obstetrics,Xuzhou Municipal Hospital Affiliated to Xuzhou Medical University/Xuzhou First People's Hospital,Xuzhou 221000,China;Department of Gynecology and Obstetrics,Xuzhou Tongshan District Hospital of Traditional Chinese Medicine,Xuzhou 221000,China)
出处
《延边大学医学学报》
2025年第9期93-95,共3页
Journal of Medical Science Yanbian University
关键词
氨甲环酸
物理压迫
剖宫产
产后出血量
Tranexamic acid
Physical compression
Cesarean section
Postpartum blood loss
