Abstract

Objective To explore the hemostatic value of performed Microporous polysaccharide hemospheres in marginal placenta previa caesarean section, and assess the suitability of the application in primary hospitals. Methods 70 patients with marginal placenta previa were chosen, who regularly antenatal examined in Guangzhou Women and Children's Medical Center from November 2013 to October 2015, and they were randomly divided into two groups: research group(35 patients were performed haemostatics) and control group(35 patients were not performed haemostatics). Results The research group was obviously succeeded in the hemostasis time[(22.8±6.2)min vs (11.1±5.6)min; t=3.26, P<0.05], local suture[(4.6±1.5)times vs (1.9±0.7)times; t=3.87, P<0.05], 2h amount of bleeding[(685.4±126.7)mL vs (460.1±89.3)mL; t=4.66, P<0.05], 24h amount of bleeding[(972.0±203.5)mL vs (632.3±107.1)mL; t=5.19, P<0.05]and failure rate(17.1% vs 2.9%, χ2=3.96, P<0.05) than those in the control group.There were no significant differences between the two groups in postoperative disease rate, puerperal infection rate, the incidence rate of uterine involution, intrauterine adhesions, thrombosis. Conclusion The hemostatic effect is remarkable of Microporous polysaccharide hemospheres used in marginal placenta previa during caesarean section.It works quickly, easily, with little side effects, and is so suitable for promotion in primary hospitals. Key words: Placenta previa; Caesarean section; Polysaccharide

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