欣母沛联合宫腔填纱治疗前置胎盘剖宫产术后出血的临床疗效观察

Clinical effect observation of Hemabate combined with intrauterine gauge packing in treatment of postpartum hemorrhage after cesarean section of patients with placenta previa

目的:观察欣母沛联合宫腔填纱治疗前置胎盘剖宫产术后出血的临床疗效。方法:选择前置胎盘剖宫产术后出血患者90例,采用随机数字表法分为对照组与研究组各45例。两组在给予缩宫素基础上,对照组应用宫腔填纱治疗,研究组应用欣母沛联合宫腔填纱治疗。对比两组手术时间、术后2 h、24 h出血量、住院时间及不良反应发生情况。结果:研究组术后2 h、24 h出血量均低于对照组(P<0.05),住院时间明显短于对照组(P<0.05),两组不良反应发生率和手术时间对比,差异均无统计学意义(P>0.05)。结论:在缩宫素治疗基础上,欣母沛联合宫腔填纱治疗前置胎盘剖宫产术后出血的疗效优于单纯宫腔填纱治疗疗效。

Objective To investigate clinical effect of Hemabate combined with intrauterine gauge packing in treatment of post-partum hemorrhage after cesarean section of patients with placenta previa. Methods： 90 placenta previa patients with postpartum hem-orrhage placenta previa were selected and divided into control group （n = 45） and study group （n = 45） by the random number table.The control group was treated with intrauterine gauge packing and Oxytocin, while the study group was treated with Hemabate combinedwith intrauterine gauge packing. The operation time, the amount of bleeding 2h and 24 h after the operation, the time of hospitaliza-tion, and the adverse reactions were compared between the two groups. Results： The amount of bleeding 2h and 24 h after the opera-tion of the study group was less than that of the control group （P〈0. 05）, and the hospitalization time was shorter than that of the con-trol group （P〈0. 05）. However, there were no statistical differences in the adverse reaction incidence and operation time between thetwo groups （P〉0. 05）. Conclusions： Hemabate combined with intrauterine gauge packing based on Oxytocin in the treatment of post-partum hemorrhage after cesarean section of the patients with placenta previa is superior to single intrauterine gauge packing.