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目的研究卡前列素氨丁三醇联合B-Lynch缝合治疗剖宫产产后出血的临床效果。方法 78例剖宫产产后出血的产妇,随机分成对照组和治疗组,每组39例。对照组采用缩宫素和卡前列甲酯栓治疗,治疗组采用卡前列素氨丁三醇联合B-Lynch缝合。观察两组产妇治疗效果。结果治疗组产妇产时、产后2、24 h出血量分别为(968.43±102.41)、(99.53±48.67)、(215.74±19.58)ml;对照组产妇产时、产后2、24 h出血量分别为(925.36±189.47)、(278.54±38.41)、(318.75±49.76)ml。两组产妇产时出血量比较,差异无统计学意义(P>0.05);治疗组产后2、24 h出血量明显少于对照组(P<0.05)。治疗组产妇子宫恢复正常率明显高于对照组(P<0.05)。治疗组血常规血红蛋白恢复正常率明显优于对照组(P<0.05)。结论对剖宫产产后出血的患者采用卡前列素氨丁三醇联合B-Lynch缝合治疗,能有效的减少产后出血量,促进子宫恢复,减轻患者痛苦,可推广应用。
Objective To study the clinical effect of cardiotomycin trometamol combined with B-Lynch suture in treating cesarean section postpartum hemorrhage. Methods Seventy eight cesarean section postpartum hemorrhage women were randomly divided into control group and treatment group, 39 cases in each group. The control group was treated with oxytocin and carbamazepine, and the treatment group was treated with carboprost trometamol and B-Lynch suture. Observation of two groups of maternal treatment effect. Results Hemorrhage was (968.43 ± 102.41), (99.53 ± 48.67) and (215.74 ± 19.58) ml respectively in the treatment group at postpartum and at 2,24 h postpartum. In the control group, bleeding volume at delivery and postpartum at 2,24 h (925.36 ± 189.47), (278.54 ± 38.41) and (318.75 ± 49.76) ml, respectively. There was no significant difference in the amount of bleeding between the two groups (P> 0.05). The amount of bleeding in the treatment group was significantly less than that of the control group at 2 and 24 hours after delivery (P <0.05). The treatment group maternal uterine recovery was significantly higher than the control group (P <0.05). The recovery rate of hemoglobin in the treatment group was significantly better than that in the control group (P <0.05). Conclusion Cisplatin postpartum hemorrhage patients with carboprost trometamol combined with B-Lynch suture treatment, can effectively reduce the amount of postpartum hemorrhage, promote uterine recovery, reduce pain, can be extended to use.