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目的分析前置胎盘剖宫产术中纱条填塞宫腔的止血效果。方法随机把我院100例前置胎盘患者分为实验组与对照组,两组孕妇均采用刨宫产的方式进行生产,对实验组患者应用纱条填塞宫腔进行止血,对照组采用常规缝合方式止血。对两组孕妇产后的止血效果进行记录和分析。结果应用纱条填塞宫腔止血的患者在进行剖宫产手术之后平均术中出血量为(554±79)mL,远低于采用常规缝合止血法进行止血的对照组患者(788±84)(P<0.05),较低的术中出血量也导致实验组的患者术中输血率15.4%远低于对照组患者41.0%(P<0.05)。实验组患者的平均术后出血量(84.3±28.9)mL远低于对照组患者(105.4±31.1)mL,两组患者在手术切口愈合率以及住院时间上无明显差异(P>0.05)。结论采用纱条填塞宫腔对前置胎盘剖宫产患者进行止血有非常好的疗效,且在术后伤口的愈合时间与采用常规止血方法并无较大差异,是一种安全的止血方式,值得进行临床推广。
Objective To analyze the hemostatic effects of gauze-stuffed uterine cavity in cesarean section of placenta previa. Methods A total of 100 patients with placenta accreta in our hospital were randomly divided into experimental group and control group. Both groups of pregnant women adopted the method of planing palace production to stop bleeding. The control group was treated with conventional suture Way to stop bleeding. The postpartum hemostatic effects of two groups of pregnant women were recorded and analyzed. Results The average intraoperative blood loss was (554 ± 79) mL in patients undergoing cesarean section with gauze tamponade, much lower than that of the control group (788 ± 84) in the control group with conventional suture hemostasis P <0.05). The lower intraoperative blood loss also led to a 15.4% lower intraoperative blood transfusion rate in the experimental group than in the control group (41.0%, P <0.05). The average postoperative bleeding amount in the experimental group was 84.3 ± 28.9 mL, which was significantly lower than that in the control group (105.4 ± 31.1) mL. There was no significant difference between the two groups in the surgical incision healing rate and hospitalization time (P> 0.05). Conclusion The use of gauze packing uterine cavity in patients with placenta previa placenta hemostasis have a very good curative effect, and in the wound healing time and the use of conventional hemostasis method is no significant difference, is a safe way to stop bleeding, Worthy of clinical promotion.