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前置胎盘患者剖宫产产后出血治疗中应用宫腔水囊压迫的效果分析 被引量:19

Effect Analysis of Intrauterine Water-Filled Balloon Oppression on the Treatment of Postpartum Hemorrhage after Cesarean Section in Patients with Placenta Previa
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摘要 目的:分析宫腔水囊压迫治疗前置胎盘患者剖宫产产后出血的临床疗效。方法:选择本院2012年4月-2014年9月收治的前置胎盘剖宫产产后出血患者74例作为研究对象,采用随机数字表法将其分为两组,对照组36例以宫腔填塞纱条法止血,观察组38例以宫腔水囊压迫法止血,分析两组止血效果。结果:观察组止血时间、术中出血量、产后2 h出血量、产后24 h出血量及输血量均显著低于对照组,两组比较差异有统计学意义(P<0.05);两组子宫切除、术后切口感染及产后病发生情况比较差异均无统计学意义(P>0.05)。结论:在前置胎盘患者剖宫产产后出血治疗中,宫腔水囊压迫法可迅速止血,减少患者出血量,值得推广。 Objective: To analyze the effect of intrauterine water-filled balloon oppression on the treatment of postpartum hemorrhage after cesarean section in patients with placenta previa.Method: 74 placenta previa patients with postpartum hemorrhage after cesarean section in our hospital from August 2012 to September 2014 were selected and randomly divided into two groups.In order to stop bleeding, 36 patients in the control group were given the treatment of intrauterine packing with gauze, 38 patients in the observation group were given the treatment of intrauterine water-filled balloon oppression.Hemostatic effects of the two groups were compared.Result: The hemostatic time, intraoperative blood loss, bleeding volume of 2 hours and 24 hours after the operation, volume of blood transfusion in the observation group were significantly lower than those in the control group, the differences were statistically significant ( P〈0.05 ) .The incidence situation of hysterectomy, postoperative incision infection and postpartum disease in the two groups had no significant difference (P〉0.05) .Conclusion: In placenta previa patients' treatment of postpartum hemorrhage after cesarean section, the method of intrauterine water-filled balloon oppression can quickly stop bleeding and reduce the amount of bleeding, it is worthy of premotion.
作者 黄英 陈平
出处 《中国医学创新》 CAS 2015年第22期142-144,共3页 Medical Innovation of China
基金 惠州市科技局计划立项项目(20140804)
关键词 前置胎盘 剖宫产 产后出血 宫腔水囊压迫 Placenta previa Cesarean section Postpartum hemorrhage Intrauterine water-filled balloon oppression
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