论文部分内容阅读
目的:探究我院妊娠晚期前置胎盘出血患者的临床疗效,以进一步提高我院的整体治疗水平。方法:2013年8月至2015年2月,该院共计接收妊娠晚期前置胎盘出血患者167例。现将从中随机抽取76例,并利用随机分组法,将其分成研究组与对照组,各组均38例。研究组行“常规止血+米索前列醇+垂体后叶素”治疗,对照组仅行常规止血治疗。准确记录并比较两组于术中及术后的出血量。结果:研究组术中出血量为(209.82±19.77)ml,显著低于对照组的(357.46±24.81)ml;且其术后2 h以及1 d的出血量,也都显著低于对照组。两组对比,差异具有统计学意义(P<0.05)。研究组行子宫切除术的患者,为0例;对照组为4例。研究组的子宫切除率0,显著低于对照组10.53%。两组对比,差异具有统计学意义(P<0.05)。结论:在常规止血治疗中,辅以“米索前列醇+垂体后叶素”疗法,可显著降低妊娠晚期前置胎盘患者术中及术后的出血量,临床应用意义与价值都较高。
Objective: To investigate the clinical efficacy of placental hemorrhage in the third trimester of pregnancy in our hospital to further improve the overall treatment of our hospital. Methods: From August 2013 to February 2015, the hospital received a total of 167 patients with placental hemorrhage in the third trimester of pregnancy. Now randomly selected from 76 cases, and the use of random grouping method, will be divided into study group and control group, 38 cases in each group. The study group “conventional hemostasis + misoprostol + pituitrin ” treatment, the control group only conventional hemostasis. Accurately record and compare the two groups in the amount of intraoperative and postoperative bleeding. Results: The bleeding volume of the study group was (209.82 ± 19.77) ml, which was significantly lower than that of the control group (357.46 ± 24.81) ml. The bleeding volume at 2 h and 1 d after operation was also significantly lower than that of the control group. The difference between the two groups was statistically significant (P <0.05). The study group hysterectomy patients, 0 cases; control group, 4 cases. The study group hysterectomy rate 0, significantly lower than the control group 10.53%. The difference between the two groups was statistically significant (P <0.05). Conclusion: In the conventional hemostatic treatment, supplemented with “misoprostol + vasopressin” therapy can significantly reduce the amount of intraoperative and postoperative bleeding in patients with placenta previa third trimester of pregnancy, the clinical significance and value are more high.