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目的探讨短时间宫腔填塞纱条治疗剖宫产术后出血的临床效果。方法设观察组和对照组,观察组给予短时间宫腔填塞纱条治疗,对照组不给予填塞纱条治疗,观察两组产妇的术中出血量及术后出血的发生率。结果观察组患者的术中出血量显著少于对照组,观察组的术中出血量在50～350ml之间,平均出血量为(105.7±15.3)ml,术后出血量在20～35ml之间,平均出血量为(28.9±8.5)ml;对照组的术中出血量在105～280ml之间,平均出血量为(160.7±25.7)ml,术后出血量在80～750ml之间,平均出血量为(285.7±20.8)ml,其中产后大出血3例(4.29%),P<0.05为差异具有统计学意义。结论短时间宫腔填塞纱条治疗可以减少剖宫产的术中出血量,操作简便、安全有效。
Objective To investigate the clinical effect of short-term intrauterine packing gauze in treating post-cesarean section bleeding. Methods Observation group and control group, the observation group were treated with short-term intrauterine packing gauze, the control group was not given gauze treatment, the two groups of maternal intraoperative bleeding and the incidence of postoperative bleeding. Results The intraoperative blood loss in the observation group was significantly less than that in the control group. The intraoperative blood loss in the observation group was between 50 and 350ml, the average amount of bleeding was (105.7 ± 15.3) ml and the postoperative bleeding was between 20 and 35ml , The average amount of bleeding was (28.9 ± 8.5) ml; in the control group, the intraoperative blood loss was between 105 and 280 ml, the average amount of bleeding was (160.7 ± 25.7) ml, and the amount of bleeding after operation was between 80 and 750 ml (285.7 ± 20.8) ml, among which 3 cases were postpartum hemorrhage (4.29%), P <0.05 was considered statistically significant. Conclusion Short-term intrauterine packing gauze can reduce the intraoperative blood loss of cesarean section, easy to operate, safe and effective.