Observation on the Combined Application of Carboprost Tromethamine and Low Position B-Lynch Suture of Uterus in the Treatment of Postpartum Hemorrhage after Cesarean Section
Objective To observe the effect of carhoporost tromethamine trobutrin combined with low position B-Lynch suture of uterus in patients with postpartum hemorrhage after cesarean section.Methods The clinical data of 120 patients with postpartum hemorrhage during cesarean section admitted to the Affiliated Hospital of Gansu Medical College from December 2019 to January 2022 were retrospectively analyzed.They were divided into a control group(n=60)and an observation group(n=60)according to different treatment methods.The control group was treated with uterine injection of oxytocin after delivery,while the observation group was treated with carhoporost tromethamine and low position B-Lynch suture of uterus.The clinical efficacy of the two groups of patients was compared with the amount of bleeding during the perioperative period,the postoperative uterine recovery,the hospitalization time and the incidence of complications.Results The total clinical effective rate of the observation group was 96.67%,higher than 83.33%of the control group,and the difference was statistically significant(P＜0.05).In the observation group,the intraoperative blood loss was(946.32±90.45)mL,the postoperative blood loss was(255.23±46.33)mL and the postoperative blood loss was(334.18±50.21)mL,they were all less than(1129.41±100.21)mL,(305.54±50.45)mL and(425.33±54.65)mL in the control group,and the differences between groups were statistically significant(P＜0.05).There were no significant differences in the duration and complication rate of lochia haemorrhagica between the two groups(P＞0.05).The duration of hospitalization in the observation group was shorter than that in the control group,and the difference was statistically significant(P＜0.05).Conclusion The combination of carboprost tromethamine and low position B-lynch suture of uterus can effectively control postpartum hemorrhage after cesarean section,promote the recovery of the uterus,promote the early discharge,and reduce the occurrence of complications.
Cesarean sectionPostpartum hemorrhageCarboprost tromethamineLow position B-Lynch suture of uterus
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