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Clinical effect of transverse circular suture of uterus combined with Carboprost Tromethamine in the treatment of hemorrhage during cesarean section |
YANG Dong-qun ZHANG Ying-yu ZHOU Wen-juan |
Huizhou Mternal and Child Health Care Family Planning Service Center, Guangdong Province, Huizhou 516000, China |
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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.
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[1] |
肖文霞,王会芝,周广杰,等.2014~2016年剖宫产率及剖宫产指征分析[J].医学理论与实践,2018,31(19):2932-2934.
|
[2] |
彭光彩,王晓雯.剖宫产术后远期并发症及临床影响[J].中国计划生育和妇产科,2017,9(3):46-49.
|
[3] |
刘娟,董晋,张春莉,等.产后出血原因及高危因素临床研究[J].陕西医学杂志,2018,47(7):871-873.
|
[4] |
Zhang R,Shi H,Ren F,et al.Assessment of carboprost tromethamine for reducing hemorrhage in laparoscopic intramural myomectomy[J].Exp Ther Med,2015,10(3):1171-1174.
|
[5] |
涂佳.子宫横向环形捆绑缝合术在剖宫产术中出血的应用效果[J].深圳中西医结合杂志,2015,25(18):139-141.
|
[6] |
刘兴会,陈锰.全球产后出血指南异同[J].中国实用妇科与产科杂志,2017,33(6):556-559.
|
[7] |
黄晓惠.卡前列素防治高危产妇剖宫产术中及术后出血的临床研究[J].中国医药指南,2017,15(12):115-116.
|
[8] |
Evensen A,Anderson JM,Fontaine P.Postpartum hemorrhage:prevention and treatment[J].Am Fam Physician,2017,95(7):442-449.
|
[9] |
Newsome J,Martin JG,Bercu Z,et al.Postpartum Hemorrhage[J].Tech Vasc Interv Radiol,2017,20(4):266-273.
|
[10] |
田燕荣,王海平,李小菊.宫腔填塞纱条治疗剖腹产术后大出血患者的价值[J].中外医疗,2018,37(21):66-67,80.
|
[11] |
姜清英.选择性子宫动脉栓塞术与子宫切除术治疗产后出血的临床效果研究[J].医药论坛杂志,2018,39(9):119-120.
|
[12] |
刘娅.横向环行捆绑式缝扎子宫术治疗难治性产后出血的效果研究[J].航空航天医学杂志,2017,28(12):1483-1484.
|
[13] |
刘洪莉,漆洪波,罗欣,等.子宫交叉捆绑术治疗剖宫产术中难治性产后出血疗效研究[J].中国实用妇科与产科杂志,2016,32(6):554-557.
|
[14] |
李青,汪艳,王婧,等.宫颈子宫下段环形缝合术在前置胎盘剖宫产术中出血的临床应用[J].中国实用妇科与产科杂志,2017,33(7):734-737.
|
[16] |
曾亚敏,孔虹燕.卡前列素氨丁三醇联合子宫下段环形缝扎治疗前置胎盘剖宫产术中大出血的应用研究[J].浙江创伤外科,2018,23(1):26-27.
|
[17] |
廖建梅.探讨卡前列素防治高危产妇剖宫产术中及术后出血的效果[J].世界最新医学信息文摘.2017,17(93):121-122.
|
[18] |
王华鋆.卡前列腺素在妇产科临床中的应用效果分析[J].临床医药文献杂志.2017,4(83):16 293-16 294.
|
[15] |
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.
|
[19] |
吴欣蔚.卡前列素联合缩宫素治疗高危妊娠剖宫产术后出血的效果.[J].中国医药指南,2018,16(20):56-57.
|
|
|
|