RESUMO
Objective To investigate the clinical application of pressure pulse band in placenta previa cesarean section hemorrhage.Methods 130 patients with placenta previa surgery bleeding were randomly divided into two groups.The control group received conventional treatment of oxytocin,and the observation group,on the basis of the control group,in cesarean section in placenta praevia fail to control bleeding and bleeding is excessive,may surround the cervix as possible by lower fastening pressure pulse band (i.e.both ligament below),rapid delivery of uterus in abdominal cavity,stop the bleeding.Results The average time to hemostasis and surgical time of the control group were significantly higher than those of the observation group(t =5.72,13.27,P ＜ 0.05).The average blood loss,blood transfusion were significantly higher than those of the observation group (t =14.37,10.45,P ＜ 0.05).The number of transfusion was significantly higher than that of the observation group (x2 =15.93,P ＜ 0.05).There was no death case.Conclusion In placenta previa cesarean section,the application of pressure pulse band can be quickly and effectively reduce the bleeding during operation and easy to master.
RESUMO
Objective To observe pre-eclampsia,maternal impact on neonatal morbidity.Methods 120 cases of preeclampsia and maternal were selected as observation group,and selected the normal maternal production of the same gestational age newborns in the control group,the occurrence of neonatal asphyxia and hyaline membrane disease,hypoxic-ischemic encephalopathy,etc.were compared.Results The incidence of small for gestational age children of the observation group was significantly higher than that of the control group(x2=65.24,18.73,all P＜0.05);There was no significant difference between the two groups of hypoxic-ischemic encephalopathy and neonatal asphyxia(P＞0.05).Mild brain injury,cerebral dysplasia incidence of the observation group were 35.0％(42/120),29.2％(35/120),which in the control group were 25.0％(30/120),17.5％(21/120).The differences between the two groups were statistically significant(x2=2.86,4.57,P＜0.05);There was no statistically significant difference between the two groups of moderate brain injury incidence(P＞0.05).There were 20 cases of fetal distress and 7 perinatal child death cases in the observation group which,in the control group were six cases and two cases,the difference was statistically significant(x2=8.45,1.85,all P＜0.05).Conclusion Preeclampsia can affect neonatal development,who have premature birth tendency and higher neonatal morbidity.