止血方法对凶险型前置胎盘患者治疗及母婴结局的影响

摘要

Objective:To investigate the hemostatic effect on placenta previa patients and outcomes.Methods:70 cases of placenta previa were divided into 2 groups according to the random number table method,35 cases in each.The observation group was given uterine oppression hemostasis,and the control group was given intra uterine compression hemostasis.The operation time,intraoperative blood loss,hysterectomy rate,blood transfusion rate,postpartum hemorrhage rate,maternal and neonatal outcomes were compared between the two groups.Results:The operation time,intraoperative blood loss,hysterectomy rate,blood transfusion rate,postpartum hemorrhage rate in the observation group were significantly less than those in the control group,P ＜ 0.05.In the observation group,the incidence of adverse perinatal and total adverse pregnancy outcomes were significantly lower than those of the control group,P ＜ 0.05.Conclusion:The application of external pressure hemostasis in cesarean section can shorten the operation time,reduce the amount of bleeding after operation,reduce the rate of hysterectomy,blood transfusion rate,postpartum hemorrhage rate,improve maternal and neonatal outcomes.%目的:探讨止血方法对凶险型前置胎盘患者治疗及母婴结局的影响.方法:70例凶险型前置胎盘患者按随机数表法分为2组,各35例.观察组给予子宫外压迫止血法,对照组给予子宫内压迫止血法.比较两组手术时间、术中出血量、子宫切除率、输血率、产后出血率、母婴结局.结果:观察组手术时间、术中出血量、子宫切除率、输血率、产后出血率均明显少于对照组,P＜0.05.观察组总不良围产儿发生率、总不良妊娠结局发生率均明显低于对照组,P ＜0.05.结论:剖宫产术中采用子宫外压迫止血法,可缩短手术时间,减少术后出血量,降低子宫切除率、输血率、产后出血率,改善母婴结局.