摘要
目的研究凶险性前置胎盘治疗方法,并研究B-Lynch缝合术联合卡前列素氨丁三醇注射液宫体注射的临床价值和实际效果。方法本研究时间为2018年3月~2020年3月,研究对象为我院收治的80例凶险性前置胎盘剖宫产产妇,并随机分为研究组与对照组,每组各40例。对照组采用常规的缩宫素予以处理,而研究组则采用B-Lynch缝合术联合卡前列素氨丁三醇注射液宫体注射,最后收集两组患者治疗效果、术中出血量、术后2h阴道出血量、术后24h阴道出血量以及不良反应发生率等方面的数据,再进行统计学的比较分析。结果研究组产妇在治疗总有效率上明显高于对照组,差异有统计学意义(P <0.05)。在术中出血量、术后2h阴道出血量、术后24h阴道出血量等方面,研究组产妇低于对照组,差异有统计学意义(P <0.05)。研究组产妇的不良反应总发生率明显低于对照组,差异有统计学意义(P <0.05)。结论在凶险性前置胎盘的手术治疗中,通过B-Lynch缝合术联合卡前列素氨丁三醇注射液宫体注射可以有效的提高治疗效果,降低产妇在手术过程中的出血量,改善患者术后不良反应的发生,具有积极的推广应用价值。
Objective To research the treatment method of dangerous placenta previa, and the clinical value and practical efficacy of B-Lynch suture technique combined with intrauterine injection of carboprost tromethamine. Methods A total of 80 pregnant women with dangerous placenta previa undergoing cesarean section admitted to our hospital from March 2018 to March 2020 were selected as the research subjects, and they were randomly divided into the study group(n=40) and the control group(n=40). The control group was treated with conventional oxytocin, while the study group was treated with B-Lynch suture combined with intrauterine injection of carboprost tromethamine. Finally, the data of therapeutic efficacy, intraoperative hemorrhage volume, vaginal hemorrhage volume in 2 hours after operation, vaginal hemorrhage volume in 24 hours after operation and the incidence of adverse reactions(ADRs) were collected, and then they were analyzed statistically. Results In this research, the total effective rate of the study group was significantly higher to that of the control group, and the difference was statistically significant(P < 0.05). In terms of intraoperative hemorrhage volume, vaginal hemorrhage volume in 2 hours after operation and vaginal hemorrhage volume in 24 hours after operation, the study group was lower to the control group, and the differences were statistically significant(P < 0.05). The total incidence of ADRs in the study group was significantly lower to that in the control group(P < 0.05). Conclusion In the surgical treatment of dangerous placenta previa, B-Lynch suture combined with intrauterine injection of carboprost tromethamine can effectively improve the therapeutic efficacy, reduce the maternal intraoperative hemorrhage volume, and improve the incidence of postoperative ADRs, which has positive value of promotion and application.
作者
刘丽娜
李绿蓉
梁伟颜
LIU Li'na;LI Lvrong;LIANG Weiyan(Department of Obstetrics and Gynecology,the People's Hospital of Yangdong District,Guangdong,Yangjiang 529931,China)
出处
《中国医药科学》
2020年第23期142-144,共3页
China Medicine And Pharmacy
基金
广东省阳江市科技计划项目(阳科通【2019】50号152)。
