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目的:术中出血是负压吸宫流产的主要并发症之一。我们通过单因素及多因素分析了影响术中出血的主要因素,探讨减少术中出血的措施。方法:收集我院2005年1—3月门诊行负压吸宫人流术者共94例,测量术中出血量,分析年龄、孕龄、孕次、产次、术前宫深、术后宫深、局部麻醉方式以及手术时间对术中出血量的影响。结果:单因素及多因素分析均表明术前宫深、术后宫深、手术时间、孕龄与术中出血量显著正相关(P= 0.000)。结论:术前宫深、术后宫深、手术时间、孕龄是影响负压吸宫人流术中出血量的重要因素。选择合适的手术时机.术中适当应用催产素以及加快手术速度均有助于减少术中出血。
Objective: Intraoperative bleeding is one of the major complication of suction abortion. We analyzed the main factors influencing intraoperative blood loss by single factor and multi-factor to explore the measures to reduce intraoperative bleeding. Methods: A total of 94 cases of negative pressure suction abortion in our hospital from January to March in 2005 were collected to measure the amount of blood loss during operation. The age, gestational age, gestational age, delivery time, depth of preoperative anteroposterior palace, Deep, local anesthesia and operation time on intraoperative blood loss. Results: Both univariate and multivariate analysis showed that the depth of preoperative uterus, postoperative deep uterus, operative time, gestational age and intraoperative bleeding were positively correlated (P = 0.000). Conclusion: The depth of the preoperative Palace, the deep postoperative Palace, the operation time and the gestational age are the important factors influencing the amount of bleeding during the abortion. Choose the appropriate timing of surgery. Proper use of oxytocin during surgery and speeding up of surgery help reduce intraoperative bleeding.