改良Hayman缝合术联合卡前列素氨丁三醇在胎盘早剥并发子宫胎盘卒中中的应用  

Effect of Modified Hayman Suture Combined with Carboprost Tromethamine in the Treatment of Placental Abruption Complicated with Uterine Placental Stroke

作　　者：蔡碧玲 CAI Biling(People's Hospital of Tujia Autonomous County along the River,Yanhe 565300,China)

机构地区：[1]沿河土家族自治县人民医院,贵州沿河565300

出　　处：《中外医学研究》2024年第16期127-131,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨改良Hayman缝合术联合卡前列素氨丁三醇在胎盘早剥并发子宫胎盘卒中中的应用。方法:选取2020年3月—2023年9月沿河土家族自治县人民医院产科住院部住院分娩中发现的67例胎盘早剥并发子宫胎盘卒中患者,根据手术方法的不同分为研究组(34例)和对照组(33例),研究组给予改良Hayman缝合术联合卡前列素氨丁三醇,对照组给予宫腔纱条填塞术止血联合卡前列素氨丁三醇。比较两组临床疗效、术后情况、凝血功能、血红蛋白(hemoglobin,Hb)和红细胞计数(red blood count,RBC)、妊娠结局。结果:研究组临床总有效率高于对照组,差异有统计学意义(P<0.05);研究组术中出血量、术后出血量少于对照组,手术时间、住院时间均短于对照组,差异有统计学意义(P<0.05)。术后1个月,两组凝血酶原时间(prothrombin time,PT)、凝血酶时间(thrombin time,TT)、活化部分凝血活酶时间(activated partial thromboplastin time,APTT)指标均缩短,且研究组短于对照组,血小板计数(platelet count,PLT)指标均升高,且研究组高于对照组,差异有统计学意义(P<0.05)。术后1个月,两组Hb和RBC均升高,且研究组高于对照组,差异有统计学意义(P<0.05)。两组妊娠结局比较,差异无统计学意义(P>0.05)。结论:改良Hayman缝合术联合卡前列素氨丁三醇对胎盘早剥并发子宫胎盘卒中的处理产妇产后出血效果显著,且显著改善凝血功能。Objective:To explore the effect of modified Hayman suture combined with Carboprost Tromethamine in the treatment of placental abruption complicated with uterine placental stroke.Method:A total of 67 patients with placental abruption and uterine placental stroke during in-patient delivery in the Obstetrics Inpatient Department of People's Hospital of Tujia Autonomous County along the River from March 2020 to September 2023 were selected and divided into study group(34 cases)and control group(33 cases)according to different surgical methods.The study group was given modified Hayman suture combined with Carboprost Tromethamine.The control group was given intrauterine gauze tamponade hemostasis combined with Carboprost Tromethamine.The clinical efficacy,postoperative condition,coagulation function,hemoglobin(Hb)and red blood cell count(RBC)and pregnancy outcome were compared between the two groups.Result:The total clinical effective rate of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05);The amount of intraoperative blood loss and postoperative blood loss in the study group was less than that in the control group,and the operation time,hospital stay were shorter than that in the control group,the differences were statistically significant(P<0.05).One month after surgery,prothrombin time(PT),thrombin time(TT)and activated partial thromboplastin time(APTT)were shortened in both groups,those in the study group were shorter than those in the control group,platelet count(PLT)increased,and that in the study group was higher than that in the control group,the differences were statistically significant(P<0.05).One month after surgery,Hb and RBC were increased in both groups,those in study group were higher than those in the control group,the differences were statistically significant(P<0.05).There was no significant difference in pregnancy outcome between the two groups(P>0.05).Conclusion:The modified Hayman suture combined with Carboprost Tromethamine has a

关 键 词：胎盘早剥 子宫胎盘卒中 改良Hayman缝合术 卡前列素氨丁三醇 产后出血量 凝血功能 

分 类 号：R714.2[医药卫生—妇产科学]