不同止血方式在前置胎盘剖宫产术中大出血的应用价值分析

Analysis of the application value of different hemostatic methods in massive hemorrhage during cesarean section for placenta previa

目的 探讨前置胎盘剖宫产术中大出血产妇应用不同止血方式的价值。方法 选择80例前置胎盘剖宫产术中大出血产妇,依照随机信封法分为对照组和研究组,各40例。对照组应用球囊压迫缝,研究组给予上行支结扎术及压迫缩窄缝合术。比较两组产妇的围术期指标、康复指标、生活质量和并发症发生率。结果 研究组产妇的输血量、术后出血量少于对照组,止血时间、手术时间均短于对照组(P<0.05);研究组的恶露时间、恶露量和切口愈合时间均短于对照组(P<0.05);止血前,两组的生活质量各维度评分比较,差异无统计学意义(P>0.05),止血后,两组产妇的生活质量各维度评分高于止血前,且研究组的生活质量各维度评分高于对照组(P<0.05)。结论 子宫动脉上行支结扎术及压迫缩窄缝合术可改善前置胎盘大出血产妇的各项围术期指标,提高产妇预后康复质量和生活质量,值得临床推广。

Objective To explore the value of different hemostatic methods for postpartum hemorrhage during cesarean section with placenta previa.Methods A total of 80 postpartum women with severe bleeding during cesarean section for placenta previa were selected and divided into the control group and the study group according to the random envelope method,with 40cases in each group.The control group received balloon compression suture,while the research group received ascending branch ligation and compression constriction suture.The perioperative indicators,rehabilitation indicators,quality of life,and incidence of complications between the two groups of postpartum women were compared.Results The amount of blood transfusion and postoperative bleeding in the study group were less than those in the control group,and the time of hemostasis and operation in the study group were shorter than those in the control group(P<0.05).Lochia time,lochia quantity and incision healing time in the study group were shorter than those in the control group(P<0.05).Before hemostasis,there were no statistical significance in the scores of all dimensions of quality of life between the two groups(P>0.05).After hemostasis,the scores of all dimensions of quality of life between the two groups were higher than those before hemostasis,and the scores of all dimensions of quality of life in the research group were higher than those in the control group(P<0.05).Conclusion Ligation of the ascending branch of uterine artery and constriction and suture can improve the perioperative indexes of the women with massive hemorrhage of placenta previa,improve the quality of prognosis and rehabilitation and quality of life of the women,and which is worthy of clinical promotion.