卡前列甲酯栓与Bakri子宫填塞球囊用于非前置胎盘剖宫产产后出血的治疗效果分析

Analysis of the therapeutic effect of carboprost methylate suppository and intrauterine Bakri balloon tamponade for postpartum hemorrhage after cesarean section in women without placenta previa

目的探究卡前列甲酯栓与Bakri子宫填塞球囊治疗非前置胎盘剖宫产产后出血(PPH)的临床效果。方法88例非前置胎盘剖宫产产后出血患者,随机分为观察组与对照组,各44例。对照组采用药物治疗,观察组采用卡前列甲酯栓联合Bakri子宫填塞球囊治疗。对比两组治疗效果、阴道出血量、产后止血时间及预后效果。结果观察组治疗总有效率95.45%高于对照组的77.27%,差异有统计学意义(P<0.05)。治疗后4、24 h,观察组阴道出血量均少于对照组,差异有统计学意义(P<0.05)。观察组产后止血时间(15.18±3.57)h短于对照组的(20.43±4.29)h,差异有统计学意义(P<0.05)。观察组输血率2.27%低于对照组的18.18%,差异有统计学意义(P<0.05);两组子宫切除发生率对比,差异无统计学意义(P>0.05)。结论非前置胎盘剖宫产产妇产后出血通过实施卡前列甲酯栓联合Bakri子宫填塞球囊治疗止血效果良好,可有效减少阴道出血量,缩短止血时间。

Objective To investigate the therapeutic effect of carboprost methylate suppository and intrauterine Bakri balloon tamponade for postpartum hemorrhage(PPH)after cesarean section in women without placenta previa.Methods A total of 88 patients without placenta previa and had postpartum hemorrhage after cesarean section were randomly divided into the observation group and the control group,with 44 cases in each group.The control group was treated with drugs,and the observation group was treated with carboprost suppository combined with intrauterine Bakri balloon tamponade.The therapeutic effect,amount of vaginal bleeding,postpartum hemostasis time and prognosis were compared between the two groups.Results The total effective rate 95.45%of the observation group was higher than 77.27%of the control group,and the difference was statistically significant(P<0.05).At 4 and 24 h after treatment,the amount of vaginal bleeding in the observation group was less than that in the control group,and the difference was statistically significant(P<0.05).The postpartum hemostasis time(15.18±3.57)h in the observation group was shorter than(20.43±4.29)h in the control group,and the difference was statistically significant(P<0.05).The blood transfusion rate 2.27%in the observation group was lower than 18.18%in the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the incidence of hysterectomy between the two groups(P>0.05).Conclusion Carboprost methylate suppository combined with intrauterine Bakri balloon tamponade has a good hemostatic effect in the treatment of postpartum hemorrhage after cesarean section in women without placenta previa,which can effectively reduce the amount of vaginal bleeding and shorten the hemostasis time.