一次性宫腔压迫双球囊治疗前置胎盘剖宫产产后出血的作用分析

Value Analysis of One-time Uterine Compression with Double Balloon in the Treatment of Postpartum Hemorrhage after Cesarean Section in Patients with Placenta Previa

目的:探讨一次性宫腔压迫双球囊对前置胎盘剖宫产产后出血患者的影响。方法:将某院97例前置胎盘剖宫产产后出血患者按止血方法分为对照组48例和观察组49例,对照组给予缝合止血,观察组给予一次性宫腔压迫双球囊压迫止血,对比两组患者止血效果、血液动力学(收缩压(SBP)、舒张压(DBP)、血氧饱和度(SpO_(2))、心率(HR))、应激指标(去甲肾上腺素(NE)、血清内皮素-1(ET-1)、丙二醛(MDA)水平)。结果:观察组止血效果优于对照组(P<0.05),术后2h SBP、DBP及SPO _(2)较对照组高,HR、ET-1、NE、MDA水平较对照组低,差异有统计学意义(P<0.05)。结论:一次性宫腔压迫双球囊可通过改善前置胎盘剖宫产产后出血患者血液动力学,减轻应激状态,提高止血效果。

Objective:To investigate the effect of one-time uterine compression with double balloon on postpartum hemorrhage after cesarean section in patients with placenta previa.Methods:97 placenta previa patients with postpartum hemorrhage after cesarean section in a hospital were divided into control group(n=48)and observation group(n=49)according to hemostasis methods.The hemostatic effect of the two groups was compared.The hemodynamics indexes[systolic blood pressure(SBP),diastolic blood pressure(DBP),oxygen saturation(SpO_(2)),heart rate(HR)],and stress indexes[norepinephrine(NE),serum endothelin-1(ET-1),malondialdehyde(MDA)]were compared.Results:The hemostatic effect of the observation group was better than that of the control group(P<0.05),the postoperative 2h SBP,DBP and SpO_(2) were higher than those of the control group,and the levels of HR,ET-1,NE and MDA were lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion:One-time uterine compression with double balloon can reduce stress state and improve hemostasis effect by improving hemodynamics of placenta previa patients with postpartum hemorrhage after cesarean section.