摘要
目的比较双侧子宫动脉上行支结扎与纱条宫腔填塞两种方法用于前置胎盘剖宫产术出血患者的止血效果。方法选取前置胎盘剖宫产术中出血患者100例为研究对象,采用随机数字表法分为观察组50例和对照组50例。观察组采用双侧子宫动脉上行支结扎法,对照组采用纱条宫腔填塞法。比较两组术中输血例数、手术时间、出血量、止血时间、子宫切除例数及并发症发生情况。结果观察组止血成功率(98.0%)高于对照组(86.O%),组间差异有统计学意义(X^2=4.891,P〈0.05);观察组出血量、止血时间分别为(577.8±55.9)mL、(14.2±5.8)min,对照组分别为(612.2±79.4)mL、(19.6±10.2)min,两组差异均有统计学意义(t=2.50、3.25,均P〈0.05);两组手术时间差异无统计学意义(P〉0.05);观察组输血率、并发症发生率分别为8.0%、6.0%,均显著低于对照组的22.0%、20.0%,组间差异均有统计学意义(x^2=3.843、4.332,均P〈0.05)。结论前置胎盘剖宫产术中应用双侧子宫动脉上行支结扎法进行止血,可以有效控制出血,止血迅速,且并发症发生率低,值得临床应用。
Objective To compare hemostatic effect of bilateral uterine artery superior branch ligation and gauze intrauterine filling two methods for the placenta previa Cesarean section bleeding. Methods 100 patients with bleeding in cesarean section were randomly divided into observation group (50 cases) and control group (50 cases). The patients in the observation group were treated with bilateral uterine artery ascending branch,and the control group was treated with gauze. The number of blood transfusion, the time of operation, the amount of bleeding, the time of hemostasis, the number of hysterectomy and the occurrence of complications were compared between the two groups. Results The success rate of hemostasis in the observation group (98.0%) was higher than that in the control group (86.0%), the difference was statistically significant ( X^2 = 4. 891, P 〈 0.05 ). The bleeding volume and hemostasis time were (577.8 ± 55.9) mL, ( 19.2 ± 10.2) min, the differences between the two groups were statistically significant ( t = 2.50,3.25, all P 〈 0.05 ). The operation time between the two groups had no significant difference (P 〈 0.05 ). The transfusion rate and incidence rate of complications in the observation group were 8.0% and 6.0% ,which were significantly lower than those in the control group (22.0% ,20.0% ), and the differences were statistically significant ( X^2 = 3. 843,4. 332, all P 〈 0.05 ). Conclusion The use of bilateral uterine adery esophageal branching in the placenta previa is effective in controlling bleeding, it has rapid bleeding and low incidence of complications, and is worthy of clinical application.
出处
《中国基层医药》
CAS
2017年第18期2733-2736,共4页
Chinese Journal of Primary Medicine and Pharmacy
关键词
剖宫产术
前置胎盘
出血
临床对照试验
Cesarean section
Placenta previa
Hemorrhage
Controlled clinical trial