摘要
[目的]探讨卡前列素氨丁三醇联合B-Lynch缝合术在剖宫产产后出血最佳应用时机。[方法]我院63例剖宫产术中出现宫缩乏力产后出血的患者作为研究对象。经药物加强宫缩、按摩子宫、局部缝扎止血等处理无效,予以卡前列素氨丁三醇联合改良B-Lynch缝合术治疗。随机分为3组,A组(n=21)在产后出血量达500~800 mL时应用;B组(n=21)在产后出血量达800~1 200 mL时应用;C组(n=21)在产后出血达1 200~1 500 mL时应用。评估患者出血量、子宫切除率、输血量及产后并发症。分析应用卡前列素氨丁三醇联合改良B-Lynch缝合术手术时机的选择。[结果]3组患者出血量、输血量、子宫切除率有显著性差异(P<0.05),A组患者无一例需行子宫切除,未发生其他并发症。[结论]应用卡前列素氨丁三醇联合改良B-Lynch缝合术在剖宫产宫缩乏力所致产后出血时,能够快速控制出血、明显减少产后出血量,减少子宫切除率,应用越早效果越好,一般在出血500-800 mL时使用可取得良好的效果。
〔Objective〕To explore the optimal application of prenatal citrromine combined with Carboprost Tromethamine and B Lynch suture in postpartum hemorrhage in cesarean section.〔Methods〕63cases of cesarean section in our hospital were treated with uterine inertia and postpartum hemorrhage as the research object.strengthening the uterus contractions by the drugs,massage the uterus,local suture hemostasis and other treatments were invalid.Prostaglandin tromethamine combined with modified B Lynch suture treatment were selected.The patients were randomly divided into3groups.The patients of A group(n=21)were applied when the postpartum hemorrhage reached500~800mL.The patients of B group(n=21)were applied when the postpartum hemorrhage reached800~1200mL.The patients of C group(n=21)were applied when the postpartum hemorrhage reached1200~1500mL.To assess the amount of bleeding,hysterectomy,blood transfusion and postpartum complications.The selection of the time of operation of Prostaglandin tromethamine combined with modified B Lynch suture.〔Results〕There were significant differences in blood loss,blood transfusion and hysterectomy between the three groups(P<0.05).No patients in group A had hysterectomy and without any other complications.〔Conclusion〕The combination of prodrugin and tramadol combined with modified B Lynch suture could rapidly control bleeding after cesarean section and uterine inertia.It could reduce the amount of postpartum hemorrhage and the rate of hysterectomy.When the application was the earlier the effect was the better.The good effect could be achieved when bleeding reached500~800mL.
作者
陈艳鸿
CHEN Yanhong(Obstetric Department of Kaifeng Obstetric and gynecology Hospital,Kaifeng 475000,China)
出处
《河南大学学报（医学版）》
CAS
2017年第4期288-290,共3页
Journal of Henan University:Medical Science
