子宫改良缝合术联合卡前列素氨丁三醇治疗产后出血疗效观察

Therapeutic effect of modified uterine suture combined with carboprost tromethamine in the treatment of postpartum hemorrhage

目的探讨改良式子宫B-Lynch缝合术治疗宫缩乏力性产后出血与卡前列素氨丁三醇联合治疗的临床疗效。方法选取我院2015年1月至2018年1月收治的剖宫产术中宫缩乏力性产后出血患者共120例,根据随机分为观察组和对照组,每组60例。对照组采用改良式子宫B-Lynch缝合术治疗,观察组采用改良式子宫B-Lynch缝合术联合卡前列素氨丁三醇治疗。比较两组止血时间、出血量及并发症情况。结果观察组患者的止血时间、出血量及并发症情况远低于对照组,差异有统计学意义(P<0.05)。结论改良式子宫B-Lynch缝合术与卡前列素氨丁三醇联合治疗剖宫产宫缩乏力性产后出血更安全、有效,值得临床推广。

Objective To explore the clinical effect of the modified uterine B-Lynch suture combined with carboprost tromethamine for the treatment with the postpartum hemorrhage due to uterine inertia.Methods In our hospital from January 2015 to January 2018,120 cases pregnant women with postpartum hemorrhage due to uterine inertia were seleted,whowere divided into two groups used random number method(60 cases in each group).The observation group was treated with modified uterine B-Lynch suture combined with carboprost tromethamine,and the control group was treated with modified uterine B-Lynch suture only.The hemostasistime,amount of bleeding and complications were compared in the two groups.Results The observation group in hemostasis-time,amount of bleeding and complications were significantly lower than the control group,and the difference was statistically significant(P<0.05).Conclusion The treatment with themodified uterine B-Lynch suture combined with carboprost tromethamine is more safe and effective than modified uterine B-Lynch suture only in postpartum hemorrhage due to uterine inertia.The mothod is worthy of promotion.