欣母沛联合宫腔填塞纱条治疗剖宫产术中大出血疗效分析

Therapeutic effect of hemabate and uterine cavity gauze packing on postpartum haemorrhage in caesarean section

目的探讨欣母沛联合宫腔填塞纱条治疗剖宫产术中大出血的疗效。方法回顾性分析上海市浦东新区光明中医医院妇产科院2005年1月至2011年5月住院的105例剖宫产术中大出血患者的临床资料,按治疗方案不同分为研究组和对照组,对照组48例单纯行宫腔填塞纱条,研究组57例在对照组的基础上加用欣母沛,比较两组产后出血情况。结果研究组产后2h、24h平均出血量均明显少于对照组,差异有统计学意义(t值分别为2.250和2.700,均P<0.05)。结论采用宫腔填塞纱条联合欣母沛止血治疗产后出血疗效确切,值得推广。

Objective To explore the clinical effect of hemabate and uterine cavity gauze packing on haemorrhage in caesarean section. Methods From January 2005 to May 2011 there were 105 cases of haemorrhage in cesarean section hospitalized in Guangming Hospital of Traditional Chinese Medicine. They were randomly divided into study group and control group. The control group （ n = 48 ） was treated with uterine cavity gauze packing, while the study group （ n = 57） was treated with hemabate and uterine cavity gauze packing. The clinical data of them were retrospectively analyzed, and the situation of postpartum hemorrhage was compared between two groups. Results The bleeding volume of the study group was significantly less than that of the control group （t value was 2. 250 and 2. 700, respectively, both P 〈 0.05） at 2 hours and 24 hours after treatment. Conclusion Joint treatment of uterine cavity gauze packing and hemabate is an effective method for postpartum hemorrhage, and it is worthy of application.