摘要目的 探讨分析子宫横向环形捆绑缝合术联合卡前列素氨丁三醇治疗剖宫产术中出血的临床效果。方法 选取2018年1～12月我院收治的383例剖宫产出血患者作为研究对象，按照产妇入院时间分为对照组（2018年1～5月入院，共189例，给予传统宫腔纱条填塞术联合卡前列素氨丁三醇治疗）和观察组（2018年6～12月入院，共194例，给予子宫横向环形捆绑缝合术联合卡前列素氨丁三醇治疗）。比较两组临床效果、手术时间、术中输血率、子宫切除率、术中出血量、术后2及24 h 出血量、住院时间及术后并发症发生情况。结果 观察组治疗总有效率高于对照组（P＜0.05）；观察组手术时间、止血时间和术后住院时间短于对照组（P＜0.05）；观察组术中出血量及术后2、24 h 出血量少于对照组（P＜0.05）；观察组术中输血率、子宫切除率及术后并发症总发生率低于对照组，差异均有统计学意义（P＜0.05）。结论 横向环形捆绑缝合术联合卡前列素氨丁三醇治疗剖宫产术中出血，临床效果显著、止血效果更佳、安全性较高，值得临床推广。
Abstract：Objective To explore the clinical effect of transverse uterus ring binding combined with Carboprost Tromethamine in the treatment of postpartum hemorrhage in cesarean section.Methods A total of 383 cases cesarean section hemorrhage patients in our hospital from January to December 2018 were selected and divided into the control group (admitted to hospital from January to May 2018, 189 cases, received the treatment of uterine gauze ring binding combined with Carboprost Tromethamine) and the observation group (admitted to hospital from June to December 2018, 194 cases, received the treatment of transverse uterus ring binding combined with Carboprost Tromethamine) according to the time of admission.The clinical efficacy, operation time, bleeding time, intraoperative blood transfusion rate, uterine excision rate, intraoperative blood loss, blood loss after delivery in 2 and 24 h, lochia debridement time, length of hospital stay and occurrence of postoperative complications were compared between the two groups.Results The total effective rate of observation group was higher than that of the control group(P＜0.05).The operation time,hemostasis time and postoperative hospital stay of the observation group were shorter than that of the control group (P＜0.05).The amount of intraoperative blood loss and the amount of bleeding at 2 and 24 h after operation in the observation group were less than that in the control group (P＜0.05).The intraoperative blood transfusion rate, hysterectomy rate and postoperative complicati on rate in the observation group were lower than those in the control group(P＜0.05）.Conclusion The treatment of transverse uterus ring binding combined with Carboprost Tromethamine is effective and safe in the treatment of postpartum hemorrhage incesarean section with better hemostatic effect, which is worthy to be popularized and applied in clinic.
杨东群； 张迎愉； 周文娟. 子宫横向环形捆绑缝合术联合卡前列素氨丁三醇治疗剖宫产术中出血的临床效果[J]. 中国当代医药, 2020, 27(8): 83-86.
YANG Dong-qun； ZHANG Ying-yu； ZHOU Wen-juan. Clinical effect of transverse circular suture of uterus combined with Carboprost Tromethamine in the treatment of hemorrhage during cesarean section. 中国当代医药, 2020, 27(8): 83-86.
Bai J，Sun Q，Zhai H.A comparison of oxytocin and carboprost tromethamine in the prevention of postpartum hemorrhage in high-risk patients undergoing cesarean delivery[J].Exp Ther Med，2014，7（1）：46-50.
京公网安备 11010502046607号