摘要
目的探讨麦角新碱注射联合Bakri球囊填塞预防凶险性前置胎盘产妇剖宫产术后出血的临床效果。方法回顾性选取2016年4月至2019年12月在我院诊治的61例凶险性前置胎盘(PPP)产妇,手术医师根据产妇目前病情及出血倾向给出合理建议,结合产妇及家属意愿选择术后填塞方式不同,分为对照组(30例)与联合组(31例),对照组采用B-Lynch缝合预防术后出血,联合组采用麦角新碱注射联合Bakri球囊填塞方式,对比两组手术时间、术中出血量、住院天数、术后24h出血量、输血量及并发症。结果联合组手术[(71.76±14.84)vs(84.41±13.82)min]及住院时间[(7.12±1.89)vs(11.27±3.74)d]显著短于对照组(P<0.05),且术中出血量[(965.12±297.12)vs(1589.65±274.45)mL]、术后24h出血量[(398.51±97.65)vs(512.76±114.32)mL]、输血量[(388.14±74.32)vs(879.45±186.35)mL]均低于对照组(P<0.05);术后联合组并发症发生率(12.90%)低于对照组(36.67%,P<0.05)。结论麦角新碱注射联合Bakri球囊填塞应用于PPP产妇剖宫产术后出血的效果显著,可减少其术后出血量,缩短住院时间,降低并发症发生率。
Objective To explore the clinical effect of ergonoxine injection combined with Bakri balloon packing in the prevention of hemorrhage after cesarean section in women with pernicious placenta previa.Methods 61 parturients with PPP diagnosed and treated in the hospital between April 2016 and December 2019 were selected and divided into control group(30 cases)and combined group(31 cases),according to the different ways of postoperative packing.The control group were treated with ergometrine injection,and the combined group were treated with ergometrine injection combined with Bakri balloon tamponade.The operation time,intraoperative blood loss,hospital stay,postoperative 24 h blood loss,blood transfusion volume and complications were compared between the two groups.Results The operation time and hospital stay of the combined group were significantly shorter than the control group(P<0.05).The intraoperative blood loss,postoperative 24 h blood loss and blood transfusion volume were less than the control group(P<0.05).The incidence of complications in the combined group(12.90%)was lower than 36.67%in the control group(P<0.05).Conclusion The application of ergometrine injection combined with Bakri balloon tamponade in parturients with PPP after cesarean section can reduce postoperative blood loss,shorten the length of hospital stay and reduce the incidence of complications,with marked effect.
作者
仝亚娟
TONG Ya-juan(Department of Obstetrics and Gynecology,the Third People's Hospital of Luoyang,Luoyang 471000,Henan Province,China)
出处
《罕少疾病杂志》
2022年第3期66-68,共3页
Journal of Rare and Uncommon Diseases
关键词
麦角新碱
Bakri球囊
前置胎盘
剖宫产
术后出血
Ergometrine
Bakri Balloon
Placenta Previa
Cesarean Section
Postoperative Bleeding
