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目的:研究胎盘自然剥离方式和人工剥离方式对剖宫产术中出血的影响。方法:328例剖宫产产妇,分为胎盘自然剥离组106例和胎盘人工剥离组222例,观察两组术中出血量及术中相关情况。结果:两组患者手术时间、第三产程、胎儿体重等指标两组患者差异均无明显的统计学意义(P>0.05),而术后血红蛋白浓度及术中出血量自然组均明显低于人工组,差异有明显的统计学意义(P<0.05)。结论:剖宫产胎盘自然剥离能明显地降低术中出血量。
Objective: To study the effect of natural placenta stripping and manual dissection on bleeding during cesarean section. Methods: 328 cases of cesarean section were randomly divided into two groups: natural placenta dissection group (106 cases) and placenta accreta stripping group (222 cases). The intraoperative blood loss and intraoperative correlation were observed. Results: There was no significant difference between the two groups in the operation time, the third stage of labor and the body weight of the two groups (P> 0.05), while the postoperative hemoglobin concentration and blood loss in the natural group were significantly lower than those in the artificial group Group, the difference was statistically significant (P <0.05). Conclusion: Natural cesarean section placental ablation can significantly reduce the amount of intraoperative bleeding.