摘要
目的:分析卡前列素氨丁三醇联合自体血回输应用于凶险性前置胎盘剖宫产患者治疗中的价值,为临床治疗提供依据。方法:选取2018年5月-2019年4月本院收治的凶险性前置胎盘剖宫产患者93例。按照随机数字表法将其分为A、B、C组,各31例。A组接受缩宫素联合回收式自体血回输,B组实施前列素氨丁三醇联合回收式自体血回输,C组实施缩宫素联合异体输血。比较三组产后出血量,术前及术后血流动力、血液学指标,脐动脉血pH值、新生儿5 min Apgar评分及产妇并发症发生情况。结果:三组产后2、24 h出血量比较,差异均有统计学意义(P<0.05),其中B组产后2、24 h出血量均少于A、C组(P<0.05);三组术前及术后血流动力、血液学指标比较,差异均无统计学意义(P>0.05);三组脐动脉血pH值、5min Apgar评分比较,差异均无统计学意义(P>0.05);三组产妇并发症发生率比较,差异无统计学意义(P>0.05)。结论:卡前列素氨丁三醇联合自体血回输应用于凶险性前置胎盘剖宫产患者的治疗中,可有效减少产后出血量,且安全性较好。
Objective:To analyze the value of Carboprost Tromethamine combined with autologous blood transfusion in treatment of dangerous placenta praevia caesarean section,and to provide basis for clinical treatment.Method:A total of 93 patients with dangerous placenta previa undergoing cesarean section in our hospital from May 2018 to April 2019 were selected.According to the random number table method,they were divided into A,B and C groups,31 cases in each group.A group received Oxytocin combined with recycled autologous blood transfusion,B group received Carboprost Tromethamine combined with autologous blood transfusion,and C group received Oxytocin combined with allogeneic blood transfusion.The amount of postpartum hemorrhage,preoperative and postoperative hemodynamic and hematological indexes,umbilical artery blood pH,neonatal 5 min Apgar score and maternal complications among the three groups were compared.Result:The amount of bleeding at 2 and 24 hours postpartum in three groups were compared,the differences were statistically significant(P<0.05),and the amount of bleeding in B group were less than those of A and C groups at 2 and 24 hours postpartum(P<0.05).The hemodynamic and hematological indexes of three groups were compared before and after operation,the differences were not statistically significant(P>0.05).The pH value and 5 min Apgar score of umbilical artery blood in three groups were compared,the differences were not statistically significant(P>0.05).There was no significant difference in the incidence of complications among the three groups(P>0.05).Conclusion:Carboprost Tromethamine combined with autologous blood transfusion in treatment of dangerous placenta previa cesarean section patients can effectively reduce the amount of postpartum hemorrhage,and the safety is good.
作者
万红英
鲍梦欣
程燚
毛海飞
蔡力红
WAN Hongying;BAO Mengxin;CHENG Yi(Shangrao People’s Hospital,Shangrao 334000,China)
出处
《中国医学创新》
CAS
2019年第27期66-69,共4页
Medical Innovation of China
基金
江西省卫生计生委科技计划项目（20197452）
关键词
凶险性前置胎盘
剖宫产
卡前列素氨丁三醇
自体血回输
Dangerous placenta previa
Cesarean section
Carboprost Tromethamine
Autologous blood transfusion
