宫腔球囊填塞联合卡前列素氨丁三醇治疗前置胎盘剖宫产产后出血疗效观察  

作　　者：虞晓潇 沈维维[1] 

机构地区：[1]宁波大学医学院附属医院妇产科,315020

出　　处：《浙江临床医学》2017年第12期2292-2293,共2页Zhejiang Clinical Medical Journal

摘　　要：目的探讨宫腔球囊填塞联合卡前列素氨丁三醇治疗前置胎盘剖宫产产后出血的疗效。方法选取2014年1月至2016年12月分娩的62例前置胎盘剖宫产产妇作为观察对象，采取随机数字表将其分成两组，每组各31例。观察组给予Bakri球囊填塞联合卡前列素氨丁三醇治疗，对照组给予胎盘剥离面子宫局部缝合联合卡前列素氨丁三醇治疗，比较两组手术时间、术后出血量、住院时间以及不良反应发生情况。结果观察组手术时间、术后2h出血量、术后24h出血量、住院时间均显著低于对照组（P〈0．01）。两组均未出现严重不良反应。结论宫腔球囊填塞联合卡前列素氨丁三醇用于前置胎盘剖宫产产后出血中止血效果显著，值得临床推广应用。Objective To investigate the efficacy of intrauterine balloon tamponade combined with three-amino alcohol in the treatment of postpartum hemorrhage of placenta previa. Methods 62 cases of placenta previa cesarean delivery from January 2014 to December 2016 were selected as observation objects, and they were divided into two groups by random number table, 31 cases in each group. The observation group was given Bakri balloon tamponade combined with carboprost ammonia butyl alcohol three treatment, the control group was treated with partial surface of placenta uterine suture combined with carboprost ammonia butyl alcohol three treatment, the amount of bleeding, hospitalization time, operation time, incidence of adverse reactions were compared between the two groups. Results The operation time, the amount of 2H bleeding, the amount of 24h bleeding and the length of stay in the observation group were significantly lower than those in the control group （ P〈0.01 ） . There were no serious adverse reactions in the two groups. Conclusion Intrauterine balloon tamponade combined with three amino alcohol in the treatment of postpartum hemorrhage of placenta previa cesarean section has significant hemostatic effect, and is worthy of clinical application.

关 键 词：宫腔球囊填塞 卡前列素氨丁三醇 前置胎盘 剖宫产 产后出血 

分 类 号：R984[医药卫生—药品]