摘要
目的探讨对瘢痕子宫剖宫产术患者采用卡前列素氨丁三醇完成治疗后获得的临床效果。方法选取2020年3月—2022年5月徐州市矿山医院80例瘢痕子宫剖宫产术患者作为研究对象,以随机数表法分为两组,每组40例。参照组施以缩宫素注射液治疗,研究组施以卡前列素氨丁三醇治疗,对比两组患者治疗总有效率、凝血功能水平、不同时间段出血量、术后1 d泌乳量评分、泌乳时间以及术后2 d泌乳量评分。结果研究组治疗总有效率(97.50%)高于参照组(80.00%),差异有统计学意义(χ^(2)=6.135,P<0.05);治疗前,两组患者凝血功能水平比较,差异无统计学意义(P>0.05),治疗后,研究组凝血功能水平、血小板聚集率高于参照组,差异有统计学意义(P<0.05);研究组术后不同时间段出血量低于参照组,差异有统计学意义(P<0.05);研究组泌乳时间短于参照组,术后1 d泌乳量评分以及术后2 d泌乳量评分高于参照组,差异有统计学意义(P<0.05)。结论临床瘢痕子宫剖宫产术患者采用卡前列素氨丁三醇治疗,可提升患者治疗总有效率,改善凝血功能水平,减少不同时间段出血量,提升术后泌乳量以及缩短泌乳时间。
Objective To investigate the clinical effect of treating patients with cicatricial cesarean section with carboprost tromethamine.Methods A total of 80 patients with cicatricial cesarean section in Xuzhou Mining Hospital from March 2020 to May 2022 were selected as the research objects,and they were divided into two groups with 40 cases in each group by random number table method.The reference group was treated with oxytocin injection,and the study group was treated with carboprost tromethamine.The total effective rate,coagulation function level,blood loss in different time periods,postoperative lactation volume score of 1 d,lactation time and postoperative lactation volume score of 2 d were compared between the two groups.Results The total effective rate of the study group(97.50%)was higher than that of the reference group(80.00%),and the difference was statistically significant(χ^(2)=6.135,P<0.05).Before treatment,there was no significant difference in blood coagulation function between the two groups(P>0.05).After treatment,the coagulation function level and platelet aggregation rate in the study group were higher than those in the reference group,and the differences were statistically significant(P<0.05).The amount of blood loss in the study group was lower than that in the reference group,and the difference was statistically significant(P<0.05).The lactation time in the study group was shorter than that in the reference group,and the lactation score in the postoperative 1 d and 2 d was higher than that in the reference group,the differences were statistically significant(P<0.05).Conclusion The use of carboprost tromethamine in the treatment of patients with clinical cicatricial cesarean section can improve the total effective rate of the patients,improve the level of coagulation function,reduce the amount of blood loss in different time periods,increase the postoperative milk volume and shorten the lactation time.
作者
张金银
ZHANG Jinyin(Department of Gynecology and Obstetrics,Xuzhou Mining Hospital,Xuzhou,Jiangsu Province,221002 China)
出处
《世界复合医学》
2023年第10期153-155,163,共4页
World Journal of Complex Medicine
关键词
卡前列素氨丁三醇
瘢痕子宫剖宫产术
治疗总有效率
凝血功能水平
Carboprost tromethamine
Cicatricial cesarean section
Total effective rate of treatment
Blood clotting function level
