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目的探讨改良B-Lynch缝合术联合卡前列素氨丁三醇注射液治疗剖宫产术中难治性出血的临床护理措施和效果研究。方法选取2013年10月~2016年4月我院接受改良B-Lynch缝合术联合卡前列素氨丁三醇注射液治疗的剖宫产术中难治性出血的产妇105例,并随机分为参照组(51例)和实验组(54例),分别应用常规护理和综合护理的效果进行对照研究。观察并比较两组患者的手术时间、产后出血量、住院时间、子宫切除率、术中和术后输血率。结果实验组患者的手术时间、产后出血量、住院时间均明显优于参照组,子宫切除率和术中、术后输血率均明显低于参照组,输血量明显少于参照组,差异有统计学意义(P<0.05)。结论综合护理干预应用于改良B-Lynch缝合术联合卡前列素氨丁三醇注射液治疗剖宫产术中难治性出血的效果十分理想,值得大力推广。
Objective To investigate the clinical nursing measures and effect of modified B-Lynch suture combined with carboprost tromethamine injection in the treatment of intractable hemorrhage in cesarean section. Methods 105 cases of intractable bleeding during cesarean section were treated in our hospital from October 2013 to April 2016 with modified B-Lynch suture combined with carboprost tromethamine injection and randomly divided into Reference group (51 cases) and experimental group (54 cases), respectively, the effect of routine care and comprehensive care were compared. The operation time, postpartum hemorrhage, hospitalization time, hysterectomy rate, intraoperative and postoperative blood transfusion rate were observed and compared between two groups. Results The operation time, postpartum hemorrhage and hospital stay in the experimental group were significantly better than those in the reference group. The hysterectomy rate and intraoperative and postoperative blood transfusion rates were significantly lower than those in the reference group, and the blood transfusion volume was significantly less than the reference group Significance (P <0.05). Conclusion The effect of comprehensive nursing intervention on modified B-Lynch suture combined with carboprost trometamol in the treatment of intractable hemorrhage in cesarean section is very satisfactory and worthy of promotion.