摘要
目的:探讨B-Lynch缝合法与卡前列素氨丁三醇联合子宫填塞球囊预防前置胎盘(placenta previa,PP)剖宫产产后出血的临床应用效果。方法:回顾性分析2019年5月—2022年5月莆田学院附属医院收治的81例PP剖宫产手术产妇的临床资料。根据治疗方法将其分为研究组(n=40)与对照组(n=41),对照组给予常规B-Lynch缝合法与卡前列素氨丁三醇注射液治疗,研究组在对照组基础上联合应用子宫填塞球囊。观察并比较两组疗效、产后出血量、手术时间、外周血白细胞计数、产后血性恶露持续时间及不良反应发生情况。结果:研究组总有效率高于对照组,差异有统计学意义(P<0.05)。研究组产后出血量明显少于对照组,手术时间明显短于对照组,差异有统计学意义(P<0.05)。两组产后血性恶露持续时间及外周血白细胞计数比较,差异无统计学意义(P>0.05)。对照组不良反应发生率较研究组高,但差异无统计学意义(P>0.05)。结论:B-Lynch缝合法与卡前列素氨丁三醇联合子宫填塞球囊预防PP剖宫产产后出血的效果优于常规B-Lynch缝合法联合卡前列素氨丁三醇,可缩短手术时间,减少出血量,但不增加不良反应。
Objective:To explore the clinical effect of B-Lynch suture method and Carboprost Trometamol combined with uterine tamponade balloon in the prevention of bleeding after cesarean section in placenta previa(PP).Method:The clinical data of 81 pregnant with PP cesarean section who treated in Affiliated Hospital of Putian University from May 2019 to May 2022 were retrospectively analyzed.According to treatment method,they were divided into the study group(n=40)and the control group(n=41).The control group was treated with conventional B-Lynch suture method and Carboprost Trometamol Injection,and the study group was treated with uterine tamponade balloon on the basis of the control group.The therapeutic effect,postpartum blood loss,operation time,peripheral blood white blood cell count,postpartum lochia rubra duration and adverse reactions were observed and compared between two groups.Result:The total effective rate of the study group was higher than that of the control group,the difference was statistically significant(P<0.05).The postpartum blood loss in the study group was significantly less than that in the control group,and the operation time was significantly shorter than that in the control group,the differences were statistically significant(P<0.05).There were no significant differences in the postpartum of lochia rubra duration and peripheral blood white blood cell count between two groups(P>0.05).The incidence of adverse reactions in the control group was higher than that in the study group,but the difference was not statistically significant(P>0.05).Conclusion:The efficacy of B-Lynch suture method and Carboprost Trometamol combined with uterine tamponade balloon in the prevention of bleeding after cesarean section in PP is better than that of conventional B-Lynch suture method combined with Carboprost Trometamol,which can shorten the operation time,reduce the amount of blood loss and do not increase adverse reactions.
作者
谢佩真
卓秋莺
陈伟
XIE Peizhen;ZHUO Qiuying;CHEN Wei(Affiliated Hospital of Putian University,Putian 351100,China;不详)
出处
《中外医学研究》
2023年第20期153-156,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
