垂体后叶素局部注射联合缝合在前置胎盘剖宫产术中的疗效

The curative effect that local injection of hypophysin combined with suture in cesarean section with placenta previa

目的探讨垂体后叶素局部注射联合局部缝合在前置胎盘剖宫产术中的临床止血疗效。方法将我院125例前置胎盘剖宫产患者随机分为观察组和对照组,观察组采用垂体后叶素局部注射联合局部缝合止血治疗,对照组采用局部缝合止血治疗;比较两组的临床止血疗效。结果观察组术中胎盘剥离面出血(189.9±54.9)ml,止血时间(18.5±3.2)min;对照组术中胎盘剥离面出血(501.4±90.5)ml,止血时间(37.4±5.1)min。出血量、止血时间两组均存在极显著差异(P<0.01)。结论前置胎盘剖宫产术中胎盘附着面出血行垂体后叶素局部注射联合局部缝合,操作简单,出血量较少,止血时间较短,止血效果可靠,是减少前置胎盘剖宫产术中胎盘附着面出血的有效方法,值得临床推广。

Objective To investigate effect of clinical hemostasis that local injecting hypophysin combined with local suture in bleeding of caesarean section of placenta praevia.Methods 125 patients that underwent caesarean section of placenta praevia were obtained from Thirteenth people＇s Hospital of Chongqing city,they were divided into two groups randomly,observation group and control group.Observation group were treated regionally to inject hypophysin and to suture for stop bleeding,and control group were only treated regionally to suture for stop bleeding,to compare their clinical curative effect of hemostasis in two groups.Results Observation group bled（189.9±54.9）ml in caesarean section and spent（18.5±3.2）minutes to stop bleeding.Control group bled（501.4±90.5）ml in caesarean section and spent（37.4±5.1）minutes to stop bleeding.There were the significant deviation on volume of bleeding and time of stop bleeding in two groups（P0.01）.Conclusion Hemostasia that local injecting hypophysin combined with local suture in caesarean section of placenta praevia is easy to operate,and is less on amount of bleeding,and is short on time of stop bleeding,and is reliable on effect of stop bleeding.Accordingly,this is a modus operandi to reduce bleeding in caesarean section of placenta praevia and is worth of generalization in clinical application.