卡前列素氨丁三醇联合不同缝合术治疗剖宫产难治性子宫下段收缩不良性产后出血效果  

Clinical effect of carboprost tromethamine combined with different suture methods in the treatment of intractable lower uterine segment hemorrhage because of uterine inertia of women after cesarean section

作　　者：李小利 郭梅[1] LI Xiaoli;GUO Mei(Guangyuan Central Hospital,Guangyuan,Sichuan Province,628200)

机构地区：[1]四川省广元市中心医院,628200

出　　处：《中国计划生育学杂志》2022年第8期1758-1761,共4页Chinese Journal of Family Planning

摘　　要：目的:探究卡前列素氨丁三醇联合不同缝合术治疗剖宫产难治性子宫下段收缩不良性产后出血的临床效果。方法:收集2019年2月-2021年2月本院收治的112例剖宫产难治性子宫下段收缩不良性产后出血患者临床资料,按照缝合术式不同分为改良组57例(卡前列素氨丁三醇联合改良式B-Lynch缝合术)和缝扎组55例(卡前列素氨丁三醇联合子宫动脉上行支缝扎术)。比较两组临床疗效、术中出血量、术后24h出血量、手术时间、住院时间、并发症及生活质量。结果:改良组治疗总有效率(96.5%)高于对照组(83.6%),术后24h出血量(358.7±48.0ml)、住院时间(5.5±0.5d)低于对照组(423.3±51.1ml、7.89±1.5d),并发症总发生率(8.8%)低于对照组(23.6%),术后生理机能(90.1±3.3分)、总体健康(95.0±2.1分)、精神健康(90.2±4.1分)、精力(91.5±3.2分)评分高于对照组(86.3±3.7分、91.3±3.1分、88.4±3.3分、89.9±3.6分)(均P<0.05)。结论:对剖宫产难治性子宫下段收缩不良性产后出血患者采取卡前列素氨丁三醇联合改良式B-Lynch缝合术治疗临床效果更佳,可明显控制患者出血,减少术后并发症并改善术后生活质量。Objective: To explore the clinical effect of carboprost tromethamine combined with different suture methods in the treatment of intractable lower uterine segment hemorrhage because of uterine inertia of women after cesarean section. Methods: The clinical data of 112 women with intractable lower uterine segment hemorrhage because of uterine inertia after cesarean section between February 2019 and February 2021 were collected. According to the suture methods, these women were divided into observation group(57 women with carboprost tromethamine combined with modified B-Lynch suture) and control group(55 women with carboprost tromethamine combined with ligation of ascending branch of uterine artery). The effect, intraoperative blood loss, 24 h postoperative blood loss, operation time, hospital stay, complications rate, and quality of life of the women were compared between the two groups. Results: The total response rate(96.5%) of the women in the observation group was significantly higher than that(83.6%) of the women in the control group. The 24 h postoperative blood loss(358.7±48.0 ml) and the hospital stay(5.5±0.5 d) of the women in the observation group were significantly lower than those(423.3±51.1 ml and 7.89±1.5 d) of the women in the control group. The total incidence of complications(8.8%) of the women in the observation group was significantly lower than that(23.6%) of the women in the control group. The scores of postoperative physiological function(90.1±3.3 points), overall health(95.0±2.1 points), mental health(90.2±4.1 points), and energy(91.5±3.2 points) of the women in the observation group were significantly higher than those(86.3±3.7 points, 91.3±3.1 points, 88.4±3.3 points, and 89.9±3.6 points) of the women in the control group(all P<0.05). Conclusion: Carboprost tromethamine combined with modified B-Lynch suture in the treatment of intractable lower uterine segment hemorrhage because of uterine inertia of the women after cesarean section has better effectiveness, which can significant

关 键 词：产后出血 剖宫产 宫缩乏力 卡前列素氨丁三醇 缝合术 

分 类 号：R714.461[医药卫生—妇产科学]