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目的:探讨卡孕栓舌下含化联合短时间宫腔填塞在剖宫产术中对产后出血的预防作用。方法:183例产后出血患者分为对照组43例和治疗组140例,均给予催产素、子宫按摩和卡孕栓等常规方法止血。治疗组在胎盘娩出后立即宫腔填塞纱布垫,同时迅速缝合子宫切口;对照组在胎盘娩出后按常规缝合子宫切口,根据子宫收缩情况决定是否给予其他促子宫收缩的方法,如B-Lynch缝合术或(和)子宫肌注欣母沛。结果:治疗组术中及产后2 h出血量均少于对照组(P<0.05),产后24 h血红蛋白量明显高于对照组(P<0.05);无继发的产后出血及产褥感染,避免了子宫切除。结论:卡孕栓联合短时间宫腔填塞在剖宫产术中的应用简单、安全、快速、经济、有效,是预防手术中产后出血和保留子宫的有效方法之一,尤其值得在基层医院推广使用。
Objective: To investigate the prevention of postpartum hemorrhage in the cesarean section by the subconjunctival chemotherapy combined with short-term intrauterine filling. Methods: 183 cases of postpartum hemorrhage were divided into control group and treatment group, 43 cases were given oxytocin, uterine massage and carbamazepine and other conventional methods to stop bleeding. In the control group, the uterine incision was sutured immediately after the delivery of the placenta, and the uterine incision was sutured quickly. In the control group, the uterine incision was routinely sutured after the placenta was delivered. According to the contraction of the uterus, other methods to promote uterine contractions, such as B-Lynch suture Surgery or (and) intramuscular injection Xin mother Pei. Results: Hemorrhage was less in the treatment group than in the control group (P <0.05), and the amount of hemoglobin in the treatment group was significantly higher than that in the control group at 24 hours (P <0.05). No secondary postpartum hemorrhage and puerperal infection occurred, Avoid hysterectomy. Conclusions: The application of carbamazepine combined with short-term intrauterine packing in cesarean section is simple, safe, rapid, economical and effective and is an effective way to prevent postpartum hemorrhage and retain the uterus during operation. It is worth to be promoted in primary hospitals use.