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目的:研究妊娠晚期自体回收式输血对剖宫产术中大出血产妇的应用效果并进行分析。方法:选取从2015年5月至2016年1月,在我院行妊娠晚期自体回收式输血的剖宫产中大出血产妇42例,记为观察组,另取同期在行剖宫产术过程中大出血产妇42例,记为对照组,其中对照组给予输红细胞悬液治疗,对比两组的应用效果。结果:治疗后观察组Hb(112.5±11.8)g/L、HCT(33.9±3.6)%均高于对照组的(101.3±12.1)g/L、(30.4±5.3)%,差异均有统计学意义(均P<0.05)。观察组平均动脉压、心率分别为(90.1±10.5)mm Hg、(76.4±11.0)次/min,均高于对照组的(81.8±11.2)mm Hg、(68.5±12.2)次/min,差异均有统计学意义(均P<0.05)。观察组产妇及新生儿不良反应发生率分别为2.38%、0,均低于对照组的14.29%、11.90%,差异均有统计学意义(均P<0.05)。结论:妊娠晚期自体回收式输血对剖宫产术中大出血产妇的应用效果显著,能有效稳定产妇生命体征,降低产妇及新生儿不良反应发生率。
Objective: To study the effect of self-recovery blood transfusion during late pregnancy on the bleeding in cesarean section maternal application and analysis. Methods: From May 2015 to January 2016, 42 cases of maternal bleeding from cesarean section in our hospital from late trimester of pregnancy were enrolled in this study, which were recorded as observation group. In addition, during the same period of cesarean section Bleeding maternal 42 cases, recorded as the control group, in which the control group given loser cell suspension treatment, the two groups compared the application effect. Results: After treatment, Hb (112.5 ± 11.8) g / L and HCT (33.9 ± 3.6)% in the observation group were significantly higher than those in the control group (101.3 ± 12.1) g / L and (30.4 ± 5.3)%, respectively Significance (all P <0.05). The mean arterial pressure and heart rate in the observation group were (90.1 ± 10.5) mm Hg and (76.4 ± 11.0) / min, respectively, which were significantly higher than those in the control group (81.8 ± 11.2 mm Hg and 68.5 ± 12.2 hips / min, respectively) All were statistically significant (P <0.05). The incidence of adverse reactions in the observation group was 2.38%, 0, respectively, which was lower than 14.29% and 11.90% in the control group, respectively (all P <0.05). Conclusion: The self-recovery blood transfusion in late pregnancy has significant effect on maternal bleeding in cesarean section, which can effectively stabilize maternal vital signs and reduce the incidence of maternal and neonatal adverse reactions.