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A Study on the Comprehensive Treatment of Postpartum Hemorrhage in Caesarean Section by Modified B-Lynch Suture Combined Restrictive Rehydration Therapy with Carboprost Tromethamine Injection |
SHA Xiaolong, WANG Qian |
Maternal and Child Health Hospital Affiliated to Xuzhou Medical University, Jiangsu Xuzhou 221009, China |
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Abstract Objective: To investigate the safety and efficacy of Comprehensive treatment of postpartum hemorrhage in caesarean section by combined modified B-Lynch suture and restrictive rehydration therapy with Carboprost Tromethamine Injection. Methods: 100 cases of postpartum hemorrhage were selected and divided into the control group and the observation group according to the different treatment methods, so there are 50 patients in each group. The control group was treated with oxytocin combined with traditional suture and traditional fluid supplement. The observation group was treated with the combination of modified B-Lynch suture and restrictive fluid filling with Carboprost Tromethamine Injection. The amount of intraoperative bleeding, postoperative bleeding, blood transfusion, hemodynamic index and coagulation function were compared between the two groups. Results: The experimental results showed that the amount of bleeding, the amount of bleeding and the amount of blood transfusion in the observation group were lower than those of the control group. There was no complication in the observation group. The hemodynamic indexes of the observation group at 0.5h and 2h after treatment were better than those of the control group, there were significant differences in related hemodynamic indicators between the two groups, between different time points and between groups. The difference was statistically significant (P<0.05). The clotting function of the observation group was better than that of the control group at 6h and 12h after treatment. Conclusion: The Comprehensive treatment of postpartum hemorrhage in caesarean section by combined modified B-Lynch suture and restrictive rehydration therapy with Carboprost Tromethamine Injection is safe and reliable.
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[1] 刘惠娜,史惠蓉,赵先兰,等.B-Lynch缝合法在剖宫产术中产后出血的应用[J].国际妇产科学杂志,2015,42(2):223~225. [2] 梁娟,李维敏,王艳萍,等.1996~2000年全国孕产妇死亡率变化趋势分析[J].中华妇产科杂志,2003,38(5):257~260. [3] 魏琴.B—Lynch缝合术在治疗剖宫产术中产后出血的临床分析[J].中国社区医师:医学专业,2012,14(32):101~102. [4] 王倩,沙小龙.卡前列素氨丁三醇联合改良式子宫B-Lynch缝扎术治疗剖宫产术中宫缩乏力的疗效分析[J].中国医药科学,2017,7(17). [5] 江海湛.产后出血失血性休克抢救中限制性补液疗法的应用价值分析[J].中国医学创新,2016(6):18~21. [6] 李晓红.改良式B-Lynch缝合术对剖宫产术中子宫收缩乏力性出血的作用[J].中外医学研究,2015(16):113~114. [7] 劳永霞.卡前列素氨丁三醇治疗孕产妇产后出血的临床观察[J].当代医学,2011,17(35):4~5. [8] 廖秋红,何彬彬.卡前列素氨丁三醇在治疗产后出血中的应用[J].内蒙古中医药,2013,32(10):45~46. [9] 王鹏.改良B-Lynch缝合术治疗剖宫产术中产后出血的临床体会[J].河南外科学杂志,2016,22(6):111~112. |
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