欣母沛联合宫腔填纱治疗前置胎盘剖宫产产后出血疗效分析.docVIP

欣母沛联合宫腔填纱治疗前置胎盘剖宫产产后出血疗效分析 　　[摘要] 目的 探讨欣母沛联合宫腔填纱治疗前置胎盘剖宫产产后出血的疗效。 方法 选取我院妇产科2011年3月～2015年3月收治的 84例剖宫产分娩的前置胎盘产妇进行研究，分为联合组与填纱组，填纱组产妇仅采用宫腔填纱术治疗，联合组产妇联合欣母沛治疗，比较两组的止血效果。 结果 联合组产妇治疗后2 h、2 h～24 h的出血量明显低于填纱组；联合组产妇的止血时间短于填纱组，差异有统计学意义（P0.05）。 结论 欣母沛联合宫腔填纱术治疗前置胎盘产妇产后出血的临床效果较好。 　　[关键词] 产后出血；剖宫产；前置胎盘；宫腔填纱；欣母沛 　　[中图分类号] R714.56 [文献标识码] B [文章编号] 1673-9701（2015）23-0050-03 　　The effect of hemabate combined uterine packing in treatment of postpartum hemorrhage caused by placenta previa cesarean section 　　LI Dongmei 　　Department of Obstetrics and Gynecology，Zibo Mining Refco Group Ltd Center Hospital，Zibo 255120，China 　　[Abstract] Objective To investigate the effect of hemabate combined uterine packing in treatment of postpartum hemorrhage caused by placenta previa cesarean section. Methods 84 cases caesarean placenta previa puerpera in our hospital from March 2011 to March 2015，were divided into combined group and the filling yarn group， filling yarn group was only treated with uterine cavity filling yarn surgery，the treatment group combined with hemabate， hemostatic effects were compared between two groups. Results The bleeding amount after treatment 2 h and from 2 to 24 h in combination group was significantly lower than that of filled gauze group， the stopping bleeding time in combined group was shorter than that in the filled gauze group， the difference was significant between two groups（P0.05）. Conclusion Hemabate combined uterine packing in treatment of placenta previa postpartum hemorrhage have good effect. 　　[Key words] Postpartum hemorrhage； Cesarean section； Placenta previa； Uterine packing； Hemabate 　　前置胎盘可由子宫内膜损伤、吸毒吸烟或胎盘面积过大等引起，临床症状以妊娠晚期阴道异常流血为主。由于胎盘前置可引起阴道大量流血或反复多次流血，导致产妇出现贫血症状，在出血严重的情况下可造成产妇休克，并致使胎儿缺氧，还可能出现胎死宫内的情况[1]。对于前置胎盘，需要采用剖宫产术及时终止妊娠[2]。本文旨在分析联合宫腔填纱与欣母沛在前置胎盘剖腹产产后出血中的治疗效果，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　选取2011年3月～2015年3月于我院妇产科治疗的84例通过剖宫产分娩的前置胎盘产妇进行分析，排除合并器官功能严重损伤、凝血机制障碍、高血压、心脏病者，入选对象娩出胎儿后的24 h内阴道出血量500 mL，被确诊为产后出血。84例随机分为联合组与填纱组，每组42例。联合组年龄22～37岁，平均（28.6±