bakri子宫填塞球囊导管联合卡贝缩宫素及卡前列素氨丁三醇预防前置胎盘产后出血疗效的评价.docVIP

精品论文 参考文献 Bakri子宫填塞球囊导管联合卡贝缩宫素及卡前列素氨丁三醇预防前置胎盘产后出血疗效的评价 娄底市妇幼保健院（儿童医院）妇产科 湖南娄底 417000 【摘 要】目的：探讨Bakri子宫填塞球囊导管联合应用卡前列素氨丁三醇和卡贝缩宫素治疗前置胎盘产后出血的疗效。方法：以2015年3月-2016年3月间于本院行剖宫产分娩的前置胎盘病患90例为研究对象，以随机数字表法将90例病患分为对照组和联合组，每组45例。对照组行胎盘剥离面缝合+卡贝缩宫素+卡前列素氨丁三醇治疗，联合组行Bakri子宫填塞球囊导管+卡贝缩宫素+卡前列素氨丁三醇治疗。比较两组的治疗疗效、手术时间、出血量、白细胞数、恶露持续时间及不良反应发生率。结果：联合组治疗总有效率高于对照组（97.78% VS 80.00%）（Plt;0.01）；两组病患外周血白细胞数、恶露持续时间组间比较无明显差异（Pgt;0.05），联合组手术时间短于对照组，出血量少于对照组，差异显著（Plt;0.01）；对照组不良反应发生率高于联合组（17.78% VS 2.22%）（Plt;0.05）。结论：Bakri子宫填塞球囊导管联合应用卡前列素氨丁三醇和卡贝缩宫素治疗前置胎盘产后出血疗效显著，可减少出血量及不良反应发生率，缩短手术时间，可推广。 【关键词】卡贝缩宫素；Bakri子宫填塞球囊导管；卡前列素氨丁三醇；产后出血；前置胎盘 [Abstract]objective：to study the Bakri uterine tamponade balloon catheter combined use of card front row element ammonia butyl alcohol and three card bei oxytocin treatment of placenta previa postpartum hemorrhage curative effect.Methods：in a March 2015 - March 2016 on the line between cesarean section delivery of placenta previa patient 90 cases as the research object，with random number table method to 90 cases of patients were divided into control group and the combined group，45 cases in each group.The control line placenta peel back bei oxytocin + + card card other tromethamine treatment，joint line group Bakri uterine tamponade balloon catheter bei oxytocin + + card card other tromethamine treatment.Comparison of two groups of curative effect，operation time，blood loss，white blood cell count，duration of lochia，and incidence of adverse reactions.Results：the combined treatment group total effective rate was higher than control group（97.78% VS 80.00%）（P lt; 0.01）；Two groups of patients with peripheral blood leukocyte count，duration of lochia was no significant difference between groups（P gt; 0.05），the joint group of operation time is shorter than the control group，the bleeding is less than the control group，significant difference（P lt; 0.01）；Control group in incidence of adverse reactions than joint group（17.78% VS 2.22%）（P lt; 0.05）.Conclusion：Bakri uterine tamponade ballo