The effect of uterine artery embolization on obstetric hemorrhage
子宫动脉栓塞术治疗产科大出血的效果

摘要

目的 探析在产科大出血的治疗中应用子宫动脉栓塞术的临床效果。方法 在我院接受子宫动脉栓塞术治疗的产科大出血患者中选取30例分到观察组，另外选取同一时间段接受子宫切除术治疗的产科大出血患者24例分到对照组，本研究开展的时间为2019年3月-2020年4月。两组接受不同方法治疗后，观察和分析患者的临床状况，并对相关数据进行记录，尤其是手术情况（手术时间、出血量、住院时间）、术后并发症发生率以及手术前后患者的心率和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 两组接受不同方法治疗期间，比较手术时间、术中出血量以及住院时间，观察组相对优于对照组，差异有统计学意义（P＜0.05）；采用子宫动脉栓塞术的观察组和使用子宫切除术的对照组，比较术后并发症发生率，观察组相对较低，差异有统计学意义（P＜0.05）；术前两组患者心率、舒张压无明显差异（P＞0.05），术后观察组低于对照组，差异有统计学意义（P＜0.05）。结论 在产科大出血的治疗中使用子宫动脉栓塞术，能够有效的提高治疗效果，并减少患者术后并发症的发生率，对患者临床情况的改善有着良好作用，还有利于患者的康复。

Abstract

Objective: To explore the clinical effect of uterine artery embolization in the treatment of major obstetric hemorrhage.
Methods: Among the obstetric hemorrhage patients who underwent uterine artery embolization in our hospital, 30 cases were assigned to the observation group, and 24 obstetric hemorrhage patients who underwent hysterectomy at the same time period were selected to be assigned to the control group. This study was conducted from March 2019 to April 2020. After the two groups received different methods of treatment, observe and analyze the clinical status of the patients, and record the relevant data, especially the surgical conditions (operation time, blood loss, hospital stay), postoperative complication rate, and the patient's heart rate before and after surgery Data such as diastolic blood pressure and other data should be recorded in detail, and the recorded data of the two groups should be compared at the same time.
Results: During the two groups receiving different treatment methods, the operation time, intraoperative blood loss and hospitalization time were compared. The observation group was relatively better than the control group, the difference was statistically significant (P <0.05); the observation group using uterine artery embolization and the control group using hysterectomy compared the incidence of postoperative complications, the observation group was relatively low, the difference was statistically significant (P <0.05); there was no significant difference in heart rate and diastolic blood pressure between the two groups before surgery (P> 0.05). The postoperative observation group was lower than the control group, and the difference was statistically significant (P <0.05).
Conclusion  : The use of uterine artery embolization in the treatment of major obstetric hemorrhage can effectively improve the treatment effect and reduce the incidence of postoperative complications of patients. It has a good effect on the improvement of patients' clinical conditions and is also conducive to the rehabilitation of patients.