压脉带阻断子宫血流在前置胎盘剖宫术中的应用

目的:探讨压脉带在前置胎盘剖宫产术中使用时机不同对术中出血的影响。方法:选择前置胎盘剖宫产术中,胎盘娩出前使用压脉带阻断子宫血流42例为研究组,对所发生的术中出血量、输血量情况进行分析,随机抽取同期前置胎盘剖宫术中胎盘娩出后使用压脉带,阻断子宫血流61例(对照组)进行比较。结果:研究组术中出血量及输血量与对照组比较,差异有显著性(P<0.05),对于术后切口愈合情况比较差异无显著性(P>0.05)。结论:早期及时使用压脉带阻断子宫血流,可减少术中出血量,避免输血,切除子宫,其安全方便,不会增加切口不愈合。

Purpose：This paper explores the effects of different timing of applying blood pressure cuff on intraoperative bleeding in the placenta praevia cesarean surgery.Method：From all the placenta praevia cesarean surgeries in our hospital from January 2006 to December 2009,42 cases of applying blood pressure cuff to block the uterine blood flow before delivery of placenta were chosen as the experimental group.We analyzed the information of blood loss and blood transfusion in those surgeries.For comparison,we also randomly selected 61 cases（the control group） of applying blood pressure cuff to block the uterine blood flow after delivery of placenta in the synchronous placenta praevia cesarean surgeries.Result：In comparison between the experimental group and the control group,a significant difference in blood loss and blood transfusion was found（P 0.05） and no significant differences in postoperative incision healing（P 0.05）.Conclusion：The early timely application of blood pressure cuff for blocking the uterine blood flow can reduce intraoperative bleeding and avoid blood transfusion and hysterectomy,which is safe and convenient,with less postoperative incision healing.