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目的探讨止血带在前置胎盘剖宫产术中大出血的治疗效果。方法前置胎盘剖宫产术中大出血患者80例,随机均分为研究组和对照组,每组40例。对照组给予常规传统的止血方法 ,研究组应用止血带并行相应处理,统计并比较两组患者术中出血量、输血量、手术时间、止血时间、感染率、子宫切除率。结果研究组术中的出血量、输血量、手术时间和止血时间均明显少于对照组,两组比较差异有统计学意义(P<0.05);感染率和子宫切除率比较,差异无统计学意义(P>0.05)。结论与常规传统止血方法相比,止血带的应用使得手术时间和止血时间更短、具有术中出血量少和输血量少等优势,止血效果满意,值得临床推广使用。
Objective To investigate the therapeutic effect of tourniquet on bleeding in cesarean section of placenta previa. Methods Eighty patients with major bleeding in cesarean section were randomly divided into study group and control group, 40 cases in each group. The control group was given routine conventional hemostatic method. The study group was treated with tourniquets in parallel. The blood loss, blood transfusion, operation time, hemostasis time, infection rate and hysterectomy were calculated and compared between the two groups. Results The bleeding volume, blood transfusion volume, operation time and bleeding time in the study group were significantly less than those in the control group, the difference was statistically significant (P <0.05); the infection rate and hysterectomy rate, the difference was not statistically significant Significance (P> 0.05). Conclusion Compared with the conventional method of hemostasis, the application of tourniquet makes the operation time and hemostasis shorter, with less blood loss and less blood transfusion. The hemostatic effect is satisfactory and is worthy of clinical promotion.