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目的分析卡前列甲酯栓联合缩宫素治疗瘢痕子宫合并前置胎盘再次剖宫产对产后大出血防治效果。方法将164例瘢痕子宫合并前置胎盘再次剖宫产妊娠孕妇,随机分为研究组及对照组各82例。对照组给予米索前列醇联合缩宫素;研究组给予卡前列甲酯栓联合缩宫素。对比2组孕妇大出血情况。结果研究组术中出血量、术后出血量均少于对照组,大出血发生率为32.93%低于对照组的53.66%,差异均有统计学意义(P<0.05),2组妊娠者共出现大出血71例,其中研究组27例,对照组44例,均采取双侧子宫动脉化疗栓塞术进行治疗,1h内完成栓塞62例,1.5h完成栓塞7例,2h完成栓塞2例,10min内阴道出血停止。术后并未再次出血,无严重并发症,生命体征稳定。结论卡前列甲酯栓联合缩宫素可促进子宫收缩,有效预防瘢痕子宫合并前置胎盘再次剖宫产妊娠产妇出现大出血,为产妇安全分娩提供了保障,值得推广。
Objective To analyze the effect of cardioprotection combined with oxytocin on the prevention and treatment of postpartum hemorrhage after cesarean section combined with oxytocin in treatment of scar uterus and placenta previa. Methods One hundred and sixty-four pregnant women with scar cadaver with placenta previa and cesarean section were randomly divided into study group and control group with 82 cases each. The control group was given misoprostol in combination with oxytocin. The study group was given carbamazepine suppository combined with oxytocin. Comparison of two groups of pregnant women bleeding. Results The bleeding volume and the amount of postoperative bleeding in the study group were all less than those in the control group, the incidence of major bleeding was 32.93%, which was lower than that in the control group (53.66%), the difference was statistically significant (P <0.05) There were 71 cases of hemorrhage, of which 27 cases in study group and 44 cases in control group were treated by bilateral uterine arterial chemoembolization. 62 cases completed embolization within 1 hour, 7 cases completed embolization in 1.5 hours, 2 cases completed embolization in 2 hours, Bleeding stopped. No bleeding after surgery, no serious complications, stable vital signs. Conclusions Cardinal methylester suppository combined with oxytocin can promote uterine contractions and effectively prevent bleeding in re-cesarean section of pregnant women with cesarean scar and uterine placenta, which is safeguarded for safe delivery and worth promoting.