CAJ | 학술논문

目的：观察子宫背带缝合术联合卡前列素氨丁三醇注射液在剖宫产术后出血的临床疗效。方法临床纳入剖宫产术后出血产妇70例，根据治疗方案的不同分为观察组与对照组。观察组进行子宫背带缝合术联合卡前列素氨丁三醇注射，对照组仅给予卡前列素氨丁三醇注射。观察两组患者术后出血量及出血并发症等。结果术后2h对照组和观察组的出血量分别为（245.69±58.95）mL和（107.06±65.35）mL ，术后24 h对照组和观察组的出血量分别为（330.15±61.87） mL和（186.54±60.34） mL。失血性休克、弥散性血管内凝血（DIC）和子宫切除发生率观察组分别为2.86％、0％、0％，对照组分别为8.57％、2.86％、2.86％，差异均无统计学意义（ P＞0.05）。结论采用子宫背带缝合术联合卡前列素氨丁三醇注射液治疗剖宫产术后出血，能够有效减少术后出血量和降低术后并发症的发生率，但是尚不能认为采用子宫背带缝合术联合卡前列素氨丁三醇注射液治疗剖宫产术后出血比单纯卡前列素氨丁三醇注射液治疗更有效。
목적：관찰자궁배대봉합술연합잡전렬소안정삼순주사액재부궁산술후출혈적림상료효。방법림상납입부궁산술후출혈산부70례，근거치료방안적불동분위관찰조여대조조。관찰조진행자궁배대봉합술연합잡전렬소안정삼순주사，대조조부급여잡전렬소안정삼순주사。관찰량조환자술후출혈량급출혈병발증등。결과술후2h대조조화관찰조적출혈량분별위（245.69±58.95）mL화（107.06±65.35）mL ，술후24 h대조조화관찰조적출혈량분별위（330.15±61.87） mL화（186.54±60.34） mL。실혈성휴극、미산성혈관내응혈（DIC）화자궁절제발생솔관찰조분별위2.86％、0％、0％，대조조분별위8.57％、2.86％、2.86％，차이균무통계학의의（ P＞0.05）。결론채용자궁배대봉합술연합잡전렬소안정삼순주사액치료부궁산술후출혈，능구유효감소술후출혈량화강저술후병발증적발생솔，단시상불능인위채용자궁배대봉합술연합잡전렬소안정삼순주사액치료부궁산술후출혈비단순잡전렬소안정삼순주사액치료경유효。
Objective To observe the clinical efficacy of uterine strap suture technique combined with carboprost trometa‐mol injection in the hemorrhage after caesarean section . Methods Seventy puerpera with hemorrhage after caesarean section were divided into observation group and control group according to different therapies .The observation group adopted uterine strap suture technique combined with carboprost trometamol injection ,and the control group adopted carboprost trometamol in‐jection .The amount and complications of hemorrhage after caesarean section of two groups were observed . Results After 2 hours of surgery ,the amount of hemorrhage in control group and observation group was (245.69 ± 58.95) mL and (107.06 ± 65.35) mL ;after 24 hours of surgery ,the amount of hemorrhage in control group and observation group was (330.15 ± 61.87) mL and (186.54 ± 60.34) mL respectively .The incidence rate of hemorrhagic shock ,DIC and hysterectomy was 2.86% ,0% , 0% in the observation group ,and 8.57% ,2.86% ,2.86% in the control group respectively .The differences were not statisti‐cally significant (P>0.05) .Conclusion For puerpera with hemorrhage after caesarean section ,the uterine strap suture tech‐nique combined with carboprost trometamol injection can effectively reduce the amount and complications of hemorrhage after caesarean section .However ,it can′t be considered that the uterine strap suture technique combined with carboprost trometamol injection has a better effect in the postoperative haemorrhage than only carboprost trometamol injection .