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目的观察与探讨前置胎盘产妇剖腹产的产后出血情况。方法选取该院2015年12月—2016年12月期间收治的98例前置胎盘产妇,按照产妇前置胎盘的不同类型将其分为实验组(49例患者)与对照组(49例患者),对照组患者为中央型前置胎盘产妇,实验组患者为边缘型前置胎盘产妇,观察并对比两组患者的产后出血量。结果所有产妇的产后出血情况均得到有效控制,没有产妇发生子宫切除的现象,对照组产妇产后出血量为(662.31±199.68)mL,实验组产妇产后出血量为(326.29±96.58)mL,实验组产妇产后出血量的治疗有效率显著高于对照组,差异有统计学意义(P<0.05)。结论边缘型前置胎盘剖腹产的产后出血风险显著低于中央型前置胎盘,在妇产科的临床工作中应当予以高度重视。
Objective To observe and investigate the situation of postpartum hemorrhage in pre-placental maternal caesarean section. Methods 98 cases of placenta previa who were treated in our hospital from December 2015 to December 2016 were divided into experimental group (49 cases) and control group (49 cases) according to different types of placenta previa. , The control group of patients with central type placenta previa, the experimental group of patients with marginal placenta previa, observation and comparison of the two groups of patients postpartum hemorrhage. Results All postpartum hemorrhage was effectively controlled. There was no hysterectomy in the maternal group. The postpartum hemorrhage was (662.31 ± 199.68) mL in the control group and (326.29 ± 96.58) mL in the experimental group. The experimental group The effective rate of postpartum hemorrhage was significantly higher than that of the control group, the difference was statistically significant (P <0.05). Conclusions The risk of postpartum hemorrhage in marginal prepress cesarean section is significantly lower than that of central placenta previa. It should be given great attention in the clinical work of obstetrics and gynecology.