卡前列素氨丁三醇联合改良式子宫B-Lynch缝扎术治疗剖宫产术中宫缩乏力的疗效分析

Curative effect analysis of romethamine combined with modified uterine B-Lynch suture in treatment of uterine atony during cesarean section

目的研究卡前列素氨丁三醇联合改良式子宫B-Lynch缝扎术在治疗剖宫产术中宫缩乏力的治疗效果。方法从我院2015年1月~2017年1月随机选取有宫缩乏力高危因素拟行剖宫产的孕妇100例,其中46例术中仅给予卡前列素氨丁三醇宫体注射治疗作为对照组,54例术中同时采取卡前列素氨丁三醇宫体注射联合改良式子宫B-Lynch缝扎术作为观察组。比较两组在手术时间、住院时间、术中出血量、术后出血量、术中术后输血量、并发症的发生以及再次手术的情况。结果观察组产妇在手术时间以及住院时间上与对照组无差异,但术中出血量、术后出血量以及输血量明显少于对照组,差异有统计学意义(P<0.05)。且均无并发症再次手术情况。结论对有宫缩乏力高危因素拟行剖宫产的孕妇采取卡前列素氨丁三醇联合改良式子宫B-Lynch缝扎术能显著减少术中术后的出血量以及输血量,减少并发症发生率,疗效明显,值得应用推广。

Objective To explore the curative effect of romethamine combined with modified uterine B-Lynch suture in treatment of uterine atony during cesarean section. Methods 100 cases of high risk factors for uterine atony and cesarean section in our hospital from January 2015 to January 2017 were randomly selected. Among them, 46 cases treated with only intrauterine injection of Romethamine during operation were as control group, and 54 cases treated with Romethamine combined with modified uterine B-Lynch suture were as observation group. The operation time, hospitalization time, intraoperative blood loss, postoperative blood loss, intraoperative and postoperative blood transfusion, complications, and reoperation of the two groups were compared. Results There was no difference between the observation group and the control group in the operation time and the hospitalization time. But the amount of bleeding, the amount of postoperative bleeding and the amount of blood transfusion were significantly less than those of the control group, the difference was statistically significant （P 〈 0.05）. There was no complication and reoperation in the two groups. Conclusion For the pregnant women with high risk factors of uterine atony, Romethamine combined with modified uterine B-Lynch suture can significantly reduce intraoperative and postoperative bleeding volume and blood transfusion, and reduce the incidence of complications. The curative effect is obvious, and it is worthy of application and promotion.