第三产程干预减少产后岀血的临床观察徐秀芳(山东泰安市中心医院产科山东泰安271000)【1R714.46+1C文献标识码】A【11672-5085(2012)19-0093-02【摘要】目的探讨干预第三产程对产后出血的影响。方法将200例正常阴道分娩的健康初产妇随机分为两组，对照组90例和干预组M0例，干预组产妇在胎儿娩出后采取手法按摩子宫及可控性牵拉脐带，直至胎盘娩出。胎儿娩lOmin后胎盘无剥离征象即行人工剥离胎盘术，并同时实施心理干预。对照组常规在胎儿娩出后等待胎盘剥离征象出现协助胎盘娩出。两组产妇均在胎儿前肩娩出后静脉输注缩宫素20U。比较两组第三产程时间和产后2h、24h出血量。结果干预组第三产程时间较对照组明显缩短，产后2h、24h出血量也明显减少。两组比较差异有统计学意义(p《0.01)o结论积极干预第三产程能有效增强子宫收缩,缩短第三产程，减少产后出血量。【关键词】第三产程干预产后出血Thethirdstageoflaborinterventionstoreducepostpartumhemorrhageofclinicalobservation.Xuxiu-fang(DepartmentofObstetrics,TaianCentralHospitaljaian271000,China)【Abstract】ObjectiveTodiscusstheeffectofpostpartumhemorrhageviaintervenethirdstageoflaborMethods:200healthprimiparasofvaginaldeliveryweredivideintotwogroupatrandom:90caseswerecontrolgroup,110casesweretreatmentgroup.ThetreatmentgroupwereadoptedbyUterinemassagetechniqueanddragtheumbilicalcordmaneuverability,fromdeliveryofbabytodeliveryofplacenta」ftherewerenosymptomofplacentalabrupt!on,adoptmanualremovalofplacentaatonce,andcarryoutpsychologicalintervention.Thecontrolgroupwereconventionallyadoptedassistaneeofdeliveryofplacentawaitingforthesymptomofplacentalabruptionafterdeliveryofbaby,Twogrouppuerperaweregiven20UoxytocinbyIVIIntravenousInfusionafterthedeliveryoffetusforeshoulder.Tocomparetheamountofbleedingof2h、24handthetimeofthirdstageoflabor.Resulst:thetreatmentgroupcomparedwiththecontrolgroup,thetimeofthirdstageoflaborandtheamountofbleedingof2hand24h,thestatisticshaveaSignificantDifferenee(p《0.01).Conclusion:Tointervnethethirdstageoflaborwithpositiveaction.canstrengthenuterinecontractioneffectively,andshortenthetimeofthethirdofstage,furthereducetheamountofbeleeding・【Keywords]thethirdstageintervnepostpartumhemorrhage【摘要】目的探讨干预第三产程对产后岀血的影响。方法将200例正常阴道分娩的健康初产妇随机分为两组，对照组90例和干预组110例，干预组产妇在胎儿娩出后采取手法按摩子宫及可控性牵拉脐带，直至胎盘娩出。胎儿娩出lOmin后胎盘无剥离征象即行人工剥离胎盘术，并同吋实施心理干预。对照组常规在胎儿娩出后等待胎盘剥离征象出现协助胎盘娩出。两组产妇均在胎儿前肩娩出后静脉输注缩宫素20U。比较两组第三产程吋间和产后2h、24h出血量。结果干预组第三产程吋间较对照组明显缩短，产后2h、24h出血量也明显减少。两组比较差异有统计学意义(p《0.01)o结论积极干预第三产程能有效增强子宫收缩,缩短第三产程，减少产后出血量。【关键词】第三产程干预产后岀血Thethirdstageoflaborinterventionstoreducepostpartumhemorrhageofclinicalobservation.Xuxiu-fang(DepartmentofObstetrics,TaianCentralHospitaljaian271000,China)【Abstract]ObjectiveTodiscusstheeffectofpostpartumhemorrhageviaintervenethirdstageoflabor.Methods:200healthprimiparasofvaginaldeliveryweredivideintotwogroupatrandom:90caseswerecontrolgroup,110casesweretreatmentgroup.ThetreatmentgroupwereadoptedbyUterinemassagetechniqueanddragtheumbilicalcordmaneuverability,fromdeliveryofbabytodeliveryofplacenta,lftherewerenosymptomofplacentalabruption,adoptmanualremovalofplacentaatonce,andcarryoutpsychologicalintervention.Thecontrolgroupwereconventionallyadoptedassistaneeofdeliveryofplacentawaitingforthesymp...