中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2012年
15期
25-27
,共3页
产后出血%卡前列素氨丁三醇%背带式缝合术
產後齣血%卡前列素氨丁三醇%揹帶式縫閤術
산후출혈%잡전렬소안정삼순%배대식봉합술
Postpartum hemorrhage%Carboprost tromethamine%Strap suture
目的 探讨卡前列素氨丁三醇联合子宫背带式缝合治疗剖宫产术中出血的临床疗效.方法 选取剖宫产术中出血患者60例,按随机数字表法分为观察组和对照组,每组30例.观察组给予卡前列素氨丁三醇联合子宫背带式缝合治疗,对照组仅给予卡前列素氨丁三醇治疗.比较两组的疗效、出血量、输血例数和输血量以及再出血和并发症的发生情况.结果 观察组有效率明显高于对照组[93.33％(28/30)比70.00％(21/30),P＜0.05]；出血量、输血例数、输血量和再出血率均明显低于对照组[(603.35±52.62) ml比(689.17±50.36)ml、3例比10例、(640.21±63.58)ml比(726.17±68.74)ml、3.33％(1/30)比26.67％(8/30),P＜0.05]；两组并发症发生率比较差异无统计学意义(P＞0.05).结论 卡前列素氨丁三醇联合子宫背带式缝合可提高剖宫产术中出血患者的疗效,并能减少出血量和输血量,降低再出血的发生率.
目的 探討卡前列素氨丁三醇聯閤子宮揹帶式縫閤治療剖宮產術中齣血的臨床療效.方法 選取剖宮產術中齣血患者60例,按隨機數字錶法分為觀察組和對照組,每組30例.觀察組給予卡前列素氨丁三醇聯閤子宮揹帶式縫閤治療,對照組僅給予卡前列素氨丁三醇治療.比較兩組的療效、齣血量、輸血例數和輸血量以及再齣血和併髮癥的髮生情況.結果 觀察組有效率明顯高于對照組[93.33％(28/30)比70.00％(21/30),P＜0.05]；齣血量、輸血例數、輸血量和再齣血率均明顯低于對照組[(603.35±52.62) ml比(689.17±50.36)ml、3例比10例、(640.21±63.58)ml比(726.17±68.74)ml、3.33％(1/30)比26.67％(8/30),P＜0.05]；兩組併髮癥髮生率比較差異無統計學意義(P＞0.05).結論 卡前列素氨丁三醇聯閤子宮揹帶式縫閤可提高剖宮產術中齣血患者的療效,併能減少齣血量和輸血量,降低再齣血的髮生率.
목적 탐토잡전렬소안정삼순연합자궁배대식봉합치료부궁산술중출혈적림상료효.방법 선취부궁산술중출혈환자60례,안수궤수자표법분위관찰조화대조조,매조30례.관찰조급여잡전렬소안정삼순연합자궁배대식봉합치료,대조조부급여잡전렬소안정삼순치료.비교량조적료효、출혈량、수혈례수화수혈량이급재출혈화병발증적발생정황.결과 관찰조유효솔명현고우대조조[93.33％(28/30)비70.00％(21/30),P＜0.05]；출혈량、수혈례수、수혈량화재출혈솔균명현저우대조조[(603.35±52.62) ml비(689.17±50.36)ml、3례비10례、(640.21±63.58)ml비(726.17±68.74)ml、3.33％(1/30)비26.67％(8/30),P＜0.05]；량조병발증발생솔비교차이무통계학의의(P＞0.05).결론 잡전렬소안정삼순연합자궁배대식봉합가제고부궁산술중출혈환자적료효,병능감소출혈량화수혈량,강저재출혈적발생솔.
Objective To investigate the clinical effect ofcarboprost tromethamine combined with uterine strap suture in hemorrhage during cesarean section.Methods Sixty patients with hemorrhage during cesarean section were selected and divided by random digits table method into observation group and control group with 30 cases each.The patients in observation group were treated with carboprost tromethamine combined with uterine strap suture,while the patients in control group were treated with carboprost tromethamine alone.The clinical effect,blood loss,blood transfusion cases,transfusion volume and the occurrence of recurrent hemorrhage and complication of two groups were compared.Results Compared with control group,the efficiency in observation group was significantly higher [93.33％(28/30) vs.70.00％ (21/30),P＜ 0.05];blood loss,blood transfusion cases,transfusion volume and recurrent hemorrhage rate of observation group were obviously lower [ (603.35 ± 52.62) ml vs.(689.17 ± 50.36) ml,3 cases vs.10 cases,(640.21 ±63.58) ml vs.(726.17 ±68.74) ml,3.33％(1/30) vs.26.67％(8/30),P ＜0.05];the occurrence rate of complication of two groups had no statistical significance (P ＞ 0.05).Conclusions Carboprost tromethamine combined with uterine strap suture can improve the clinical effect of patients with hemorrhage during cesarean section,decrease blood loss and transfusion volume,and reduce the recurrent hemorrhage rate.
