宫腔球囊填塞治疗前置胎盘产妇剖宫产术中及术后出血的有效性及安全性分析

Efficacy and safety of uterine balloon tamponade in caesarean section intraoperative and postoperative bleeding of patients with placenta previa

目的探究宫腔球囊填塞治疗前置胎盘产妇剖宫产术中及术后出血的有效性及安全性.方法选择于我院行剖宫产术的48例前置胎盘产妇,依据治疗方案不同分组,对照组27例,观察组21例.对照组采取缩宫素＋欣母沛宫体注射治疗,观察组在此基础上加用宫腔球囊填塞治疗.比较两组患者术中及术后2、24h出血量、手术时间、止血有效率及不良反应发生率.结果观察组术中出血量与术后2、24h出血量均显著低于对照组（P〈0.05）;观察组手术时间显著短于对照组（P〈0.05）;观察组止血有效率95.24%,高于对照组66.67%,差异具有统计学意义（P〈0.05）;观察组不良反应发生率9.52%与对照组11.11%比较,差异无统计学意义（P〉0.05）.结论对前置胎盘产妇应用宫腔球囊填塞治疗止血效果显著,可显著降低其剖宫产术中与术后出血量,缩短手术时间,安全性较高.

Objective To investigate the efficacy and safety of uterine balloon tamponade in caesarean section intraoperative and postoperative bleeding of patients with placenta previa. Methods A total of 48 cases of patients with placenta previa in our hospital were selected and divided into control group （ n=27） and observation group （ n=21） according to the different treatment schemes. The control group was treated with oxytocin and hemabate injection, and the observation group was additiuely treated with intrauterine balloon tamponade. The blood loss of intraoperative and postoperative 2, 24 h, operation time, hemostatic effectiveness and the incidence of adverse reactions of the two groups were compared. Results The amount of blood loss of intraoperative and postoperative 2, 24 h of the observation group were lower than those of the control group （ P〈 0.05）; the operation time was shorter than that of the control group （P〈0.05）; the hemostatic efficiency of the observation group was 95.24%, which was higher than 66.67% of the control group, the difference was statistically significant （ P〈0.05）; the incidence of adverse reactions of the observation group was 9.52% and control group was 11.11%, the difference was not statistically significant （ P〉0.05）. Conclusion Uterine balloon tamponade has remarkable clinical effect in caesarean section intraoperative and postoperative bleeding of patients with placenta previa, which can significantly reduce the amount of intraoperative and postoperative bleeding, shorten the time of operation and has high safety.