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目的探讨在产后难治性出血治疗中采用改良B-Lynch缝合术联合卡前列素氨丁三醇注射液(欣母沛)治疗的效果。方法选取2014年1月~2016年12月收治的57例剖宫产手术中出现难治性出血产妇作为试验组;选取2000年1月~2012年12月收治的57例剖宫产手术中出现难治性出血产妇作为对照组。试验组采用改良B-Lynch缝合术联合欣母沛治疗,对照组采用传统治疗。分别观察两组的手术时间、术中出血量、产褥感染发生率和治疗效果。结果试验组手术时间(59.8±12.7)min、术中出血量(821.6±234.5)ml、产褥感染发生率为12.28%,明显少于对照组的(72.4±14.5)min、(1157.8±354.5)ml和28.07%,差异有统计学意义(P<0.05)。试验组的治疗有效率为100.0%,高于对照组的89.5%,差异有统计学意义(P<0.05)。结论在产后难治性出血的治疗中采用改良B-Lynch缝合术联合欣母沛治,非常有效,可在临床应用。
Objective To investigate the effect of modified B-Lynch suture combined with carboprost tromethamine injection (Xin-Pei-Pei) in the treatment of refractory postpartum hemorrhage. Methods A total of 57 cases of intractable bleeding from cesarean section admitted from January 2014 to December 2016 were selected as the experimental group. Fifty-seven cases of cesarean section were selected from January 2000 to December 2012 Refractory bleeding maternal as a control group. The experimental group was treated with modified B-Lynch suture combined with Xinma Pei, while the control group was treated with traditional treatment. The operation time, intraoperative blood loss, the incidence of puerperal infection and treatment effect were observed. Results The operation time (59.8 ± 12.7) min, blood loss (821.6 ± 234.5) ml and the incidence of puerperal infection in trial group were significantly lower than those in control group (72.4 ± 14.5) and (1157.8 ± 354.5) ml and 28.07%, the difference was statistically significant (P <0.05). The treatment group was 100.0%, higher than the control group 89.5%, the difference was statistically significant (P <0.05). Conclusion In the treatment of postpartum refractory bleeding with modified B-Lynch suture combined with Xin mother Pei, very effective, and can be used clinically.