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在乌干达东部经过手术的女性中出现多次电解质障碍,分娩受阻:一个横截面研究

Ritah Nantale^1,2, David Mukunya^2,3,4, Kenneth Mugabe^2,5

¹Busitema University Faculty of Health Sciences, Department of Nursing, Mbale, Uganda.

PLOS global public health

|June 12, 2023

概括

经过分娩阻碍的外科妇女经常经历电解质失衡,特别是低碳酸盐. 草药使用增加了多种电解质乱的风险,突出显示了手术前需要进行例行电解质评估的必要性.

科学领域:

产科和妇科产科和妇科
临床化学临床化学
公共卫生公共卫生

背景情况:

阻断分娩是一个重要的产科并发症,特别是在资源较低的环境中.
电解质障碍在重症患者中很常见,但在受阻分娩中没有研究过.
了解电解质模式对于外科手术期间的管理和结果至关重要.

研究的目的:

为了确定患有分娩阻碍的妇女中电解质障碍的患病率和模式.
调查草药使用与电解质失调之间的关联.
探索电解质失调和围产期死亡之间的关系.

主要方法:

乌干达东部389名分娩受阻妇女的数据的二次分析 (2018年7月至2019年6月).
静脉血液样本分析电解质 (,,,,,二碳酸盐) 和完整血清.
电解质变异是由已确定的正常范围之外的值定义的.

主要成果:

低碳碳血症 (85.8%),低血症 (29.1%) 和低血症 (18%) 的高患病率.
超过一半 (53.7%) 的参与者有多次电解质失调.
草药使用与多次电解质失调的概率高出1.6倍 (AOR 1.6).
多次电解质失调显示与围产期死亡无显著关联 (AOR 2.1).

结论:

阻塞分娩的妇女表现出显著的电解质障碍,特别是低碳碳血症.
对于受阻分娩的妇女,建议进行外科手术期间的电解质评估.
草药使用与电解质失调之间的关联需要进一步调查.

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