中央性前置胎盘术中束扎术后钳夹宫颈减少产后出血的效果

发布时间：2018-05-20 12:58

本文选题：中央性前置胎盘 + 产后出血　；参考：《广东医学》2015年15期

【摘要】：目的探讨中央性前置胎盘剖宫产术中胎儿娩出后立即用胶带束扎子宫下段配合术后宫颈钳钳夹宫颈对减少产后出血的作用。方法选取70例行剖宫产手术的中央行前置胎盘患者,分为两组,每组35例。观察组采用子宫下段束扎术联合术后宫颈钳夹止血,对照组采用常规方法缩宫素、按摩子宫、静推钙剂等方法进行止血。比较两组患者的手术时间、术中出血量、产后出血量、子宫缩复情况、恶露情况。结果观察组手术时间、术中及术后出血量优于对照组,且接受输血的比例较对照组少,差异均有统计学意义(均有P0.05)。结论子宫下段束扎术联合术后宫颈钳夹能有效减少中央性前置胎盘术后出血,优于传统缩宫素、按摩子宫、静推钙剂等方法。短期临床效果良好,值得进一步推广应用。
[Abstract]:Objective to investigate the effect of cervical forceps clamping cervical forceps on the reduction of postpartum hemorrhage in central placenta previa caesarean section. Methods 70 patients with central placenta previa underwent cesarean section were divided into two groups, 35 cases in each group. The observation group was treated with lower uterine segment bundle ligation combined with cervical forceps for hemostasis, while the control group was treated with conventional methods such as oxytocin, massage uterus and calcareous agent. The operative time, intraoperative bleeding, postpartum bleeding, uterine contraction and lochia were compared between the two groups. Results the operative time, blood loss during and after operation in the observation group were better than those in the control group, and the proportion of blood transfusion in the observation group was less than that in the control group, and the difference was statistically significant (P 0.05). Conclusion Lower uterine segment bundle ligation combined with cervical forceps after operation can effectively reduce bleeding after central placenta previa, which is superior to traditional methods such as oxytocin, massage uterus and calcitonin. The short-term clinical effect is good and worth further popularizing.
【作者单位】：广东省肇庆市第二人民医院产科;
【基金】：广东省肇庆市科技创新计划项目(编号:199)
【分类号】：R714.461

【参考文献】