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宫腔填纱联合欣母沛治疗前置胎盘剖宫产后出血

Intrauterine Gauze Filling Combined with Xinmupei in the Treatment of Postpartum Hemorrhage of Placenta Previa after Cesarean Section
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摘要 目的研究宫腔填纱联合欣母沛治疗前置胎盘剖宫产后出血效果。方法选取2016年3月—2017年9月江苏省宝应县妇幼保健院确诊为前置胎盘并于剖宫产后出血进行治疗的48例患者随机分为两组,对照组(24例)使用宫腔填纱进行治疗,实验组(24例)在使用宫腔填纱的基础上联合欣母沛进行治疗。治疗后,对两组患者的基本生命体征SBP、DBP、P、S_PO_2指标情况进行比较,并统计产后2 h出血量、产后24 h出血量、总出血量。结果实验组基本生命体征SBP、DBP、P、SPO2指标情况较对照组差异无统计学意义(P> 0.05),实验组患者产后2 h、24h出血量、总出血量均明显低于对照组(P <0.05)。结论宫腔填纱联合欣母沛治疗前置胎盘剖宫产后出血在显著降低出血量的同时不影响患者的基本生命体征,值得临床进一步研究。 Objective To study the clinical hemostatic effect of intrauterine gauze filling combined with Xinmupei in the treatment of postpartum hemorrhage of placenta previa after cesarean section. Methods Forty-eight patients admitted to our hospital from March 2016 to September 2017 who were diagnosed with placenta previa and needed treatment after cesarean section production were randomly assigned to two groups. Control group(n=24) was treated with intrauterine gauze filling. Experimental group(n=24) this group was treated with Xinmupei on the basis of intrauterine gauze filling.After treatment, the basic vital signs SBP, DBP, P, SPO2 indicators of the two groups were compared, and the amount of bleeding after 2 h postpartum, the amount of bleeding 24 h after delivery, and the total amount of bleeding were counted.Results There were no significant differences in the SBP, DBP,P,and SPO2 indexes between the experimental group and the control group(P>0.05).The 2 h postpartum hemorrhage, 24 h postpartum hemorrhage, and total bleeding was significantly lower than the control group(P<0.05). Conclusion The intrauterine gauze filling combined with Xinmupei could decrease the postpartum hemorrhage of placenta previa after cesarean section and not influence the vital signs indicators of patients,worthing further research.
作者 吴冬芹 WU Dong-qin(Maternal and Child Health Hospital of Baoying County,Jiangsu Yangzhou 225800,China)
出处 《现代医学与健康研究电子杂志》 2018年第22期11-12,共2页 Modern Medicine and Health Research
关键词 宫腔填纱 欣母沛 前置胎盘 剖宫产 产后出血 疗效 intrauterine gauze filling Xinmupei placenta previa cesarean section postpartum hemorrhage curative effect
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