安列克联合子宫下段塞纱在前置胎盘剖宫产术中的临床应用效果观察  

Clinical effect observation of the combined application of Carboprost tromethamine injection and gauze on patients with previa placenta underwent cesarean section

作　　者：黄秋虹[1] 彭思苹 张兵[1] 陈惠霞[1] 

机构地区：[1]广东省佛山市南海区第六人民医院产科,佛山528248

出　　处：《临床医学》2016年第2期24-25,共2页Clinical Medicine

摘　　要：目的研究安列克注射联合子宫下段塞纱在前置胎盘剖宫产术中出血的临床应用效果观察。方法选取南海区第六人民医院2013年3月至2015年3月因前置胎盘行剖宫产术的产妇42例,均分为观察组与对照组,观察组给予安列克联合纱条填塞止血,对照组给予常规纱条填塞压迫止血,比较两组患者手术情况(术中出血量、手术时间、输血率、子宫切除率)、术后出血情况(2、4、8、12 h出血量)、术后不良反应发生情况(腹泻、呕吐、高血压、心悸、头痛、黑朦、血尿)。结果观察组术中出血量为(361.3±69.9)ml,对照组为(552.0±59.6)ml,差异比较有统计学意义(P<0.05);两组手术时间、输血率、子宫切除率比较差异未见统计学意义(P>0.05)。观察组术后(2、4、8、12 h)出血量均低于对照组,差异未见统计学意义(P>0.05)。术后观察组腹泻4例、呕吐2例,稍高于对照组(2例、2例),其他不良反应类似。结论前置胎盘剖宫产术中实施宫体安列克联合子宫下段塞纱治疗,术中止血效果优于纱条填塞法,而术后止血及不良反应发生情况均未见明显差异。Objective To investigate the clinical effects of Combined application of Carboprost tromethamine injection and gauze on patients with previa placenta underwent cesarean section. Methods From March 2013 to March 2015,forty-two patients with previa placenta underwent cesarean section were selected in the sixth people’s hospital of Nanhai district,all patients were randomly divided into observation group and control group. The patients in observation group were given Carboprost tromethamine injection and gauze to stop bleeding,while the patients in control group were managed with gauze only. The operation situations （bleeding volume,operation time,transfusion rate,and uterus resection rate）,the bleeding volume after operation（2 h,4 h,8 h, 12 h）,and adverse effects after operation of the two groups were observed. Results The bleeding volume in operation of observa-tion group and control group were respectively（361. 3 ±69. 9）ml vs（552. 0 ±59. 6）ml,and there was significant difference（P ﹤0. 05）. No significant difference was observed in operation time,transfusion rate,uterus resection rate or adverse effects after oper-ation between the two groups（P ﹥ 0. 05）. Conclusion The effects of hemostasis of the combined application of Carboprost tromethamine injection and gauze are better than gauze only on patients with previa placenta underwent cesarean section.

关 键 词：安列克 塞纱 胎盘前置 剖宫产 止血 

分 类 号：R719.8[医药卫生—妇产科学]