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目的分析欣母沛联合宫腔填纱治疗前置胎盘剖宫产产后出血的临床效果。方法选取怀化市第一人民医院收治的128例前置胎盘剖宫产产后出血患者,将其随机分为观察组和对照组各64例,对照组采用欣母沛治疗,观察组在对照组基础上联合宫腔填纱治疗,比较两组患者产后出血量、手术时间、输血量、住院时间及不良反应情况。结果观察组术中出血量、术后2 h出血量、术后24 h出血量、手术时间、输血量、住院时间均明显低于对照组,两组比较差异有统计学意义(P<0.01);观察组不良反应发生率为18.8%,对照组为21.9%,两组比较差异未见统计学意义(P>0.05)。结论欣母沛联合宫腔填纱可迅速有效的止血,显著降低产后出血量,是治疗前置胎盘剖宫产产后出血的一种有效方法,值得推广。
Objective To analyze the clinical effect of Xin-Pei combined with uterine filling in the treatment of bleeding after cesarean section. Methods 128 cases of postpartum hemorrhage of cesarean section in the placenta previa of Huaihua First People’s Hospital were selected and randomly divided into observation group and control group with 64 cases in each group. The control group was treated with Xinma Pei. The observation group was divided into control group On the joint uterine filling, the postpartum hemorrhage, operation time, blood transfusion, hospital stay and adverse reactions were compared between the two groups. Results The intraoperative blood loss, blood loss at 2 h after operation, blood loss at 24 h, operation time, blood transfusion, and hospital stay were significantly lower in the observation group than in the control group (P <0.01) The incidence of adverse reactions in the observation group was 18.8% and that in the control group was 21.9%. There was no significant difference between the two groups (P> 0.05). Conclusion Xin Maopei combined with uterine filling can be quickly and effectively stop bleeding, significantly reducing the amount of postpartum hemorrhage, is an effective method for the treatment of prepartal cesarean section postpartum hemorrhage, it is worth promoting.