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目的:观察Bakri子宫填塞球囊导管联合卡前列素氨丁三醇在前置胎盘出血中的临床应用效果。方法:中山市博爱医院2014年1月至2015年1月收治的前置胎盘出血产妇中,选择具有可比性的60例作为研究对象,将其随机分成观察组与对照组,观察组产妇给予Bakri子宫填塞球囊导管与卡前列素氨丁三醇联合治疗,对照组产妇给予常规局部多点缝扎止血与卡前列素氨丁三醇联合治疗,分别对比两组产妇的一般情况、手术指标、产褥期恢复情况以及不良反应。结果:观察组产妇的一般情况比对照组产妇的一般情况明显好,观察组产妇的手术指标明显比对照组产妇的手术指标好,差异具有统计学意义(P<0.05),两组产妇均未出现严重的不良反应,轻微的症状均可自行恢复。结论:Bakri子宫填塞球囊导管与卡前列素氨丁三醇联合治疗前置胎盘出血临床效果显著,具有术中出血量少、手术时间短以及产妇预后好等优点,但在前置胎盘出血的实际临床应用中,应选择适当的治疗时机。
OBJECTIVE: To observe the clinical effect of Bakri uterus balloon catheter combined with carboprost trometamol in placenta previa. Methods: 60 patients with placental hemorrhage placenta accreta from January 2014 to January 2015 in Pok Oi Hospital of Zhongshan were randomly divided into observation group and control group. The observation group was given Bakri Uterus stuffed balloon catheter combined with cardoprost tromethamine, the control group of women given conventional local multi-point suture and stop bleeding with carboprost tromethamine combination treatment, respectively, the two groups were compared the general situation of maternal, surgical indicators, Postpartum recovery and adverse reactions. Results: The general situation of maternal women in the observation group was significantly better than the general situation of the maternal women in the control group. The surgical indexes in the observation group were significantly better than those in the control group (P <0.05), and neither maternal Serious adverse reactions, minor symptoms can be self-healing. Conclusion: The combination of Bakri womb balloon catheter and cardoprost tromethamine in the treatment of placenta accreta has a significant clinical effect, with less blood loss, shorter operative time and good prognosis of maternal, but in the placenta previa bleeding The actual clinical application, should choose the appropriate timing of treatment.