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目的观察改良B-Lynch缝合术联合卡前列素氨丁三醇治疗宫缩乏力性产后出血的疗效及安全性。方法选取宫缩乏力性产后出血产妇102例,分为观察组及对照组,每组51例。观察组给予改良B-Lynch缝合联合卡前列素氨丁三醇治疗,对照组给予常规止血联合卡前列素氨丁三醇治疗。观察两组产后出血情况及治疗后的不良反应。结果观察组手术时间较对照组缩短[(165.3±33.2)min vs.(226.5±25.4)min](P<0.05);观察组术中出血量较对照组减少[(1180.3±33.7)ml vs.(1683.6±23.9)ml](P<0.05);观察组子宫切除率低于对照组(1.96%vs.13.73%)(P<0.05)。观察组产后发生腹痛、产褥病等并发症发生率低于对照组(7.84%vs.39.22%)(P<0.05)。两组均无肠粘连发生。结论改良B-Lynch缝合术联合卡前列素氨丁三醇治疗宫缩乏力性产后出血效果显著,术后不良反应少。
Objective To observe the efficacy and safety of modified B-Lynch suture combined with carboprost trometamol in the treatment of uterine inertia postpartum hemorrhage. Methods 102 cases of uterine inertia postpartum hemorrhage were selected and divided into observation group and control group, with 51 cases in each group. The observation group was given modified B-Lynch suture combined with metoprolol trometamol, while the control group was given conventional anticoagulant combined with carboprost trometamol. Postpartum hemorrhage and adverse reactions were observed after treatment. Results The operation time of the observation group was shorter than that of the control group [(165.3 ± 33.2) min vs. (226.5 ± 25.4) min] (P <0.05), and the intraoperative blood loss was lower in the observation group than in the control group [(1180.3 ± 33.7) ml vs. (1683.6 ± 23.9) ml] (P <0.05). The hysterectomy rate in the observation group was lower than that in the control group (1.96% vs.13.73%, P <0.05). The incidence of postoperative abdominal pain and puerperal complications in the observation group was lower than that in the control group (7.84% vs.39.22%, P <0.05). No intestinal adhesions occurred in both groups. Conclusion Modified B-Lynch suture combined with carboprost trometamol in the treatment of uterine inertia postpartum hemorrhage significant effect, less adverse reactions.