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目的研究Bakri子宫球囊填塞和局部多点“8”字缝扎止血2种方法对前置胎盘剖宫产产妇的影响,对前置胎盘剖宫产产妇围手术期出血量、子宫切除及术后发热风险的影响。方法选择2015年1月—2016年3月在宁波市鄞州人民医院接受剖宫产的前置胎盘产妇110例,随机分为对照组和实验组,每组各55例,2组产妇均注射卡前列素氨丁三醇,对照组产妇采用局部多点“8”字缝扎止血,实验组产妇采用Bakri子宫球囊填塞。比较2组产妇的围手术期出血量、手术情况和术后并发症。结果实验组产妇术中出血量为(382.16±61.29)ml,术后2 h出血量为(273.93±37.70)ml,术后24 h出血量为(306.73±41.37)ml,明显少于对照组,差异有统计学意义(P<0.05);实验组产妇的手术时间为(2.44±0.61)h,住院时间为(7.02±1.25)d,住院费用为(7 835.16±435.65)元,少于对照组,恶露持续时间为(8.12±2.25)周,持续时间较对照组长,差异有统计学意义(P<0.05);实验组产妇出血为3例(5.45%),子宫切除为1例(1.82%),产褥感染为2例(3.64%),术后发热为4例(7.27%),而对照组分别为25例(45.45%)、9例(16.36%)、10例(18.18%)和16例(29.09%),实验组产妇明显少于对照组,差异有统计学意义(P<0.05)。结论 Bakri子宫球囊填塞可以减少胎盘前置剖宫产产妇的围手术期出血量,手术时间和住院时间更短,术后并发症较少。
Objective To study the effect of Bakri uterine balloon tamponade and local multi-point “8” suture hemostasis on prepartal placenta cesarean section. The effect of perioperative blood loss, hysterectomy And the risk of postoperative fever. Methods One hundred and ten cases of placenta previa who received cesarean section from January 2015 to March 2016 in Ningbo Yinzhou People’s Hospital were randomly divided into control group and experimental group with 55 cases in each group. Prostaglandin tromethamine, the control group of mothers with local multi-point “8 ” suture to stop bleeding, the experimental group maternal Bakri uterus balloon stuffing. Perioperative bleeding, operative conditions and postoperative complications were compared between the two groups. Results The amount of bleeding during the operation was (382.16 ± 61.29) ml in the experimental group and (273.93 ± 37.70) ml at 2 h after operation, and (306.73 ± 41.37) ml at 24 h after operation, which was significantly lower than that of the control group (2.44 ± 0.61) h, length of hospital stay (7.02 ± 1.25) days, hospitalization cost (7 835.16 ± 435.65) yuan, which was less than that of the control group , The duration of lochia was (8.12 ± 2.25) weeks, the duration was longer than the control group, the difference was statistically significant (P <0.05); maternal bleeding in the experimental group was 3 cases (5.45%), hysterectomy was 1 case ), Puerperal infection was 2 cases (3.64%), postoperative fever was 4 cases (7.27%), while the control group were 25 cases (45.45%), 9 cases (16.36%), 10 cases (18.18%) and 16 cases (29.09%), the experimental group was significantly less than the control group, the difference was statistically significant (P <0.05). Conclusion Bakri uterus balloon tamponade can reduce the perioperative blood loss of preeclamptic mothers with shorter operation time and hospitalization time and less postoperative complications.