摘要
目的探讨低位子宫背带式缝合术联合卡前列素氨丁三醇治疗前置胎盘性难治性产后出血的临床疗效。方法选择我院产科2017年3月至2020年6月间收治的82例前置胎盘性难治性产后出血患者作为研究对象,根据入院先后顺序的不同分为观察组与对照组,每组各41例。对照组患者给予“8”字间断缝合术联合缩宫素治疗,观察组患者给予低位子宫背带式缝合术联合卡前列素氨丁三醇治疗,观察并比较两组出血量、术后恢复相关指标和临床疗效。结果观察组术后2 h、24 h出血量为(63.4±11.7)mL、(35.2±9.4)mL,均低于对照组的(84.2±18.8)mL、(62.3±15.1)mL,差异有统计学意义(t=6.015、9.756,P<0.05);观察组术后下床活动时间为(2.8±0.7)d、住院时间(6.1±1.3)d、恶露持续时间(14.0±3.4)d及子宫复旧时间为(36.4±1.8)d,均低于对照组的(4.6±1.1)d、(8.4±1.8)d、(19.7±4.6)d、(41.2±2.3)d,差异有统计学意义(t=8.840、6.633、6.381、10.523,P<0.05);观察组临床总有效率(95.2%)高于对照组(80.5%),差异有统计学意义(χ^(2)=4.100,P<0.05)。结论低位子宫背带式缝合术联合卡前列素氨丁三醇治疗前置胎盘性难治性产后出血的临床疗效较好,可有效控制出血,促进患者恢复。
Objective To explore the clinical efficacy of low uterine brace suture combined with carboprost tromethamine in the treatment of refractory postpartum hemorrhage induced by placenta previa.Methods Eighty-two patients with refractory postpartum hemorrhage induced by placenta previa admitted to Department of Obstetric of our hospital from March 2017 to June 2020 were selected.They were divided into the observation group and the control group according to the order of admission,with 41 patients in each group.The control group were treated with"8"intermittent suture combined with oxytocin,while the observation group were treated with low uterine brace suture combined with carboprost tromethamine.The blood loss,postoperative recovery related indicators and clinical efficacy were compared between the two groups.Results The blood losses 2 h and 24 h after surgery of the observation group were(63.4±11.7)mL and(35.2±9.4)mL,which were less than those of the control group as(84.2±18.8)mL and(62.3±15.1)mL,with statistically significant differences(t=6.015,9.756,P<0.05).The time of postoperative off-bed exercise,hospitalization time,lochia duration and uterine involution time of the observation group were(2.8±0.7)d,(6.1±1.3)d,(14.0±3.4)d,and(36.4±1.8)d,which were shorter than those of the control group as(4.6±1.1)d,(8.4±1.8)d,(19.7±4.6)d and(41.2±2.3)d,with statistically significant differences(t=8.840,6.633,6.381,10.523,P<0.05).The total clinical effective rate of the observation group was 95.2%,which was higher than that of the control group as 80.5%,with statistically significant difference(χ^(2)=4.100,P<0.05).Conclusion Lower uterine brace suture combined with carboprost tromethamine shows good clinical efficacy in the treatment of refractory postpartum hemorrhage induced by placenta previa,which can effectively control the bleeding and promote the recovery of patients.
作者
林淑鑫
LIN Shuxin(Department of Obstetrics,Fuzhou Second Hospital,Fuzhou350000,China)
出处
《中国现代医生》
2021年第14期73-75,79,共4页
China Modern Doctor
