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目的探讨卡贝缩宫素配合宫腔水囊填塞在前置胎盘剖宫产手术出血中的应用价值。方法 60例前置胎盘剖宫产手术患者,采取奇偶数分组法分为常规组和实验组,各30例。两组患者均采取宫腔水囊填塞,常规组给予普通缩宫素治疗,实验组给予卡贝缩宫素治疗。比较两组患者手术时间、术中出血量、术后2、24 h出血量。结果实验组患者手术时间为(75.52±9.52)min,明显短于常规组的(90.26±12.85)min,差异具有统计学意义(P<0.05)。实验组患者术中、术后2 h、术后24 h出血量均明显少于常规组,差异具有统计学意义(P<0.05)。结论对前置胎盘剖宫产手术中采取卡贝缩宫素配合宫腔水囊填塞的应用效果显著,术后出血量较少,手术时间较短,值得实践推广。
Objective To investigate the value of carbetocin combined with intrauterine aqueous humor packing for cesarean section bleeding in the anterior placenta. Methods 60 cases of placenta previa patients undergoing cesarean section were divided into the conventional group and the experimental group by the even and odd grouping method, 30 cases in each group. The two groups of patients were taken to fill the uterine cavity water balloon, the conventional group to give ordinary oxytocin treatment, experimental group given carbetocin treatment. The operation time, intraoperative blood loss and postoperative blood loss of 2,24 h were compared between the two groups. Results The operation time of the experimental group was (75.52 ± 9.52) min, which was significantly shorter than that of the conventional group (90.26 ± 12.85) min, the difference was statistically significant (P <0.05). The experimental group of patients at 2 h after operation, 24 h after operation were significantly less bleeding volume than the conventional group, the difference was statistically significant (P <0.05). Conclusions The application of carbetocin in the cesarean section of the placenta previa combined with intrauterine aqueduct has significant effect, less postoperative bleeding and shorter operative time, so it is worth practicing.