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目的探讨改良式B-Lynch缝合联合卡前列素氨丁三醇宫体注射在剖宫产产后出血的应用价值。方法 2015年1月至2016年6月我院72例剖宫产术中出现宫缩乏力产后出血的病人作为研究对象。根据临床治疗方案的不同将随机分为对照组(n=36)与实验组(n=36),对照组给予缩宫素并行双侧子宫动脉结扎,实验组则采用卡前列素氨丁三醇联合改良B-Lynch缝合术,比较两组患者的各阶段临床情况,评估治疗效果及比较患者术后并发症情况。结果在各个阶段,实验组在各个阶段的出血量均低于对照组,有统计学差异(P<0.05)。结论改良B-Lynch缝合联合卡前列素氨丁三醇宫体注射,止血效果好,安全副作用少,能保留生育功能,是治疗剖宫产产后出血有效的止血方法。
Objective To investigate the application value of modified B-Lynch suture combined with carboprost tromethamine injection in postpartum hemorrhage of cesarean section. Methods From January 2015 to June 2016, 72 patients with uterine atony in postpartum hemorrhage during cesarean section in our hospital were studied. According to the clinical treatment plan will be divided into control group (n = 36) and experimental group (n = 36) randomly. The control group was given oxytocin parallel bilateral uterine artery ligation. The experimental group was treated with carboprost tromethamine Combined with modified B-Lynch suture, the clinical status of the two groups was compared, the treatment effect was evaluated and the postoperative complications were compared. Results In all stages, the amount of bleeding in experimental group was lower than that in control group (P <0.05). Conclusion The improved B-Lynch suture combined with carboprost tromethamine intrauterine injection, hemostatic effect, less safety side effects, can retain the reproductive function, is an effective hemostatic method for the treatment of cesarean section postpartum hemorrhage.