摘要
目的:探讨改良子宫按摩法和心理干预预防产后出血的效果。方法:将400例经阴道分娩产妇随机分为对照组和观察组各200例,对照组采用临床最常用的子宫按摩法,观察组采用改良子宫按摩法,同时实施相应的心理干预。结果:观察组产妇的第三产程时间、产时及产后出血量、产后24 h出血总量及产后出血发病率均低于对照组(P<0.05)。结论:改良子宫按摩法和心理干预综合措施可有效预防产后出血,值得临床推广应用。
Objective ： To explore the effect of improved uterine massage and psychological intervention on the prevention of postpartum hemorrhage. Methods： 400 parturient with vaginal delivery were randomly divided into control group and observation group （200 cases for each group）. Conventional uterine massage was used in control group and psychological intervention was additionally applied to the parturient based on uterine massage in observation group. Results： The time of the third stage of labor, production time, volume of postpartum hemorrhage, total volume of postpartum hemorrhage and the incidence of postpartum hemorrhage were lower in observation group than that in control group （ P 〈 0. 05 ）. Conclusion ： Improved uterine massage and comprehensive psychological intervention can effectively prevent postpartum hemorrhage, it is worth being used clinically.
关键词
子宫按摩法
心理干预
产后出血
Uterine massage
Psychological intervention
Postpartum hemorrhage
