摘要
目的探讨宫腔球囊填塞治疗前置胎盘剖宫产产后出血的临床效果。方法选择2020年1月至2023年1月常州市第八人民医院收治的90例前置胎盘产后出血患者,按照随机数字表法分为对照组(45例,卡前列素氨丁三醇注射液)、观察组(45例,卡前列素氨丁三醇注射液联合宫腔球囊填塞)。比较两组临床效果。结果观察组治疗总有效率高于对照组(P<0.05)。观察组术后2 h、24 h阴道出血量少于对照组,止血时间及住院时间短于对照组(P<0.05)。观察组术后凝血酶原时间、活化部分凝血活酶时间、凝血酶时间短于对照组(P<0.05)。观察组月经恢复时间、血性恶露持续时间、异常体温持续时间短于对照组,宫缩持续时间长于对照组(P<0.05)。结论宫腔球囊填塞治疗前置胎盘剖宫产产后出血的临床效果显著,可以减少阴道出血量,缩短止血时间、住院时间及恢复时间,改善凝血功能,值得推广应用。
Objective To investigate the clinical effect of intrauterine balloon tamponade in the treatment of postpartum hemorrhage after cesarean section of placenta previa.Methods From January 2020 to January 2023,90 patients with postpartum hemorrhage of placenta previa admitted to the Eighth People’s Hospital in Changzhou City were selected and divided into control group(45 cases,Carboprost Tromethamine Injection)and observation group(45 cases,Carboprost Tromethamine Injection combined with intrauterine balloon tamponade)according to the random number table method.The clinical effect of the two groups was compared.Results The total effective rate of the observation group was higher than that of the control group(P<0.05).The amount of vaginal bleeding at 2 h and 24 h after operation in the observation group was less than that in the control group,and the hemostasis time and hospitalization time were shorter than those in the control group(P<0.05).The prothrombin time,activated partial thromboplastin time and thrombin time after operation in the observation group were shorter than those in the control group(P<0.05).The menstrual recovery time,bloody lochia duration and abnorm al body tem perature duration in the observation group were shorter than those in the control group,and the uterine contraction duration was longer than that in the control group(P<0.05).Conclusion The clinical effect of intrauterine balloon tamponade in the treatment of postpartum hemorrhage after cesarean section of placenta previa is significant,which can reduce the amount of vaginal bleeding,shorten the hemostasis time,hospitalization time and recovery time,and improve coagulation function,which is worthy of promotion and application.
作者
朱萍
柴月荣
韩丽霞
ZHU Ping;CHAI Yuerong;HAN Lixia(Department of Obstetrics,the Eighth People’s Hospital in Changzhou City,Wujin People’s Hospital Affiliated to Jiangsu University,Jiangsu Province,Changzhou 213100,China)
出处
《妇儿健康导刊》
2023年第13期105-107,126,共4页
JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE
关键词
宫腔球囊填塞
卡前列素氨丁三醇
前置胎盘
产后出血
Intrauterine balloon tamponade
Carboprost Tromethamine
Placen ta previa
Postpartum hemorrhage
