难治性产后大出血产妇临床治疗方法对比研究

A comparative study on the clinical treatment of refractory postpartum hemorrhage

目的对比研究难治性产后大出血产妇临床治疗方法和效果。方法随机选择2019年3月至2020年3月本院收治的64例难治性产后大出血产妇作为研究对象,按照平均原则将患者分为两组,使用子宫背带缝合术治疗方法的32例患者为对照组,使用子宫背带缝合术联合卡前列素治疗的32例患者为观察组。对比分析两组术中出血量、平均手术时间以及治疗效果等基本情况。结果观察组患者治疗有效率为96.88%,高于对照组患者的治疗有效率87.50%;观察组患者术中出血量(1492.2±9.4)mL、手术时间(40.3±6.8)min、住院时间(5.2±0.8)d,均低于对照组。结论子宫背带缝合术联合卡前列素治疗难治性产后大出血,能够有效提高患者的治疗效果,缩短手术时间、减少术中出血量,并且能够减少患者住院时间,促进患者康复,对于产妇和其家庭均有重大意义。

Objective:To comparatively study the clinical treatment methods and effects of maternal refractory postpartum hemorrhage.Methods:Randomly selected 64 patients with refractory postpartum hemorrhage who were admitted to our hospital from March 2019 to March 2020 as the research object.The patients were divided into two groups according to the average principle,and 32 patients were treated with uterine suturing suture as control group,32 patients treated with uterine suturing suture combined with carboprost were the observation group.Comparative analysis of the basic conditions of intraoperative blood loss,average operation time and treatment effect between the two groups.Results:The treatment effective rate of the observation group was 96.88%,which was higher than that of the control group 87.50%;the intraoperative blood loss(1492.2±9.4)mL,operation time(40.3±6.8)min,hospitalization time(5.2±0.8)d,lower than the control group.Conclusion:Uterine suturing suture combined with carboprost for the treatment of refractory postpartum hemorrhage can effectively improve the treatment effect of patients,shorten the operation time,reduce the amount of intraoperative bleeding,and can reduce the hospitalization time of patients and promote the rehabilitation of patients.The family has great significance.