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目的探讨分析卡前列素氨丁三醇联合宫腔填纱对剖宫产产后出血的疗效及预后影响。方法 60例行剖宫产孕妇,随机分成两组,各30例。对照组采用宫腔填纱方式止血;观察组在此基础之上联合应用卡前列素氨丁三醇进行止血。比较两组产妇的出血量、治疗前后血氧饱和度、血压水平以及术后不良反应情况。结果观察组术后1 h以及术后24 h的出血量为(232.31±31.27)ml和(279.51±21.46)ml均低于对照组的(274.28±22.46)ml和(341.28±33.19)ml,差异有统计学意义(P<0.05);治疗前后,观察组产妇血氧饱和度、血压水平与对照组比较,差异均无统计学意义(P>0.05);观察组患者产后不良反应总发生率13.33%低于对照组50.00%,差异有统计学意义(P<0.05)。结论卡前列素氨丁三醇联合宫腔填纱应用于剖宫产产后止血效果十分显著,值得应用推广。
Objective To investigate the curative effect and prognosis of cetuximab trometamol combined with uterine filling on cesarean section postpartum hemorrhage. Methods Sixty pregnant women undergoing cesarean section were randomly divided into two groups (n = 30 in each group). In the control group, intrauterine filling method was used to stop bleeding; on the basis of this observation group, the combination of carboprost and tromethamine was used to stop bleeding. The bleeding volume, maternal blood oxygen saturation, blood pressure and postoperative adverse reactions before and after treatment were compared between the two groups. Results The amount of bleeding at 1 h and 24 h after operation in the observation group was (232.31 ± 31.27) ml and (279.51 ± 21.46) ml, respectively, which were lower than those in the control group (274.28 ± 22.46) ml and (341.28 ± 33.19) ml, respectively (P0.05); Before and after treatment, the observation group maternal oxygen saturation and blood pressure levels compared with the control group, the difference was not statistically significant (P> 0.05); the incidence of postpartum adverse reactions in the observation group patients was 13.33 % Lower than the control group 50.00%, the difference was statistically significant (P <0.05). Conclusion The application of cardoprost tromethamine combined with uterine filling in cesarean section after hemostasis effect is very significant, it is worth to promote the application.