The effect of uterine artery embolization on obstetric hemorrhage
子宫动脉栓塞术治疗产科大出血及护理

摘要

目的 探析在治疗产科大出血中应用子宫动脉栓塞术的临床效果。方法 便利选取我院收治的86例产科大出血患者作为主要研究对象，研究开展的时间为2019年1月-2020年1月，将所有的患者按照1:1的比例分到对照组和观察组，对照组（n=43例），观察组（n=43例），两组接受不同的治疗方法，分别是子宫切除术、自动动脉栓塞术，两组患者接受不同治疗方法后，对患者的临床状况进行观察和分析，并对相关数据进行记录，尤其是患者接受手术的时间、出血量、住院时间、术后并发症发生率以及术后患者的心率及舒张压等数据要详细记录，同时将两组记录后的数据进行比较。结果 通过对患者的临床状况观察发现，采用子宫动脉栓塞术治疗的观察组和使用子宫切除术治疗的对照组，比较手术时间、出血量及住院时间，观察组相对较好，差异有统计学意义（P＜0.05）；此外，比较两组患者并发症发生情况，观察组患者的并发症发生率低于对照组，相比同样存在区别，差异有统计学意义（P＜0.05）；观察组和对照组患者术后心率及舒张压比较，观察组优于对照组，差异有统计学意义（P＜0.05）。结论 在治疗产科大出血的过程中使用自动动脉栓塞术，不仅能够有效改善患者的心率和舒张压，还能够降低患者术后并发症的发生，对治疗效果的提升有着积极作用。

Abstract

Objective: To explore the clinical effect of uterine artery embolization in the treatment of major obstetric hemorrhage.
Methods: It is convenient to select 86 patients with major obstetric hemorrhage admitted to our hospital as the main research object. The study will be carried out from January 2019 to January 2020. All patients will be divided into the control group and the observation group at a 1: 1 ratio. , The control group (n = 43 cases), the observation group (n = 43 cases), the two groups received different treatment methods, namely hysterectomy, automatic arterial embolization, and the two groups of patients received different treatment methods. Observe and analyze the clinical situation, and record the relevant data, especially the time of the patient's operation, the amount of bleeding, the length of hospitalization, the incidence of postoperative complications, and the heart rate and diastolic blood pressure of the postoperative patient. Compare the two sets of recorded data.
Results: By observing the clinical status of the patients, it was found that the observation group treated with uterine artery embolization and the control group treated with hysterectomy compared the operation time, bleeding volume and hospital stay. The observation group was relatively good, and the difference was statistically significant significance (P <0.05); In addition, comparing the incidence of complications in the two groups, the incidence of complications in the observation group was lower than that in the control group, there was also a difference between the two groups, and the difference was statistically significant (P <0.05); Compared with the control group's postoperative heart rate and diastolic blood pressure, the observation group was better than the control group, and the difference was statistically significant (P <0.05).
Conclusion  : The use of automatic arterial embolization in the treatment of major obstetric hemorrhage can not only effectively improve the patient's heart rate and diastolic blood pressure, but also reduce the occurrence of postoperative complications, and have a positive effect on the improvement of the treatment effect.