Effectiveness of Carboprost Tromethamine Combined with Modified B-lynch Suture for Cesarean Haemorrhage with Placenta Praevia and Pregnancy Outcome
Objective to investigate the effect of carboprost tromethamine combined with modified B-lynch suture in the treatment of cesarean haemorrhage with placenta praevia.Methods 198 cases of patients with placenta praevia delivered by cesarean section in our hospital were selected from March 2021 to March 2023,and were divided into 99 cases each in the control group(modified B-lynch suture)and the observation group(combined with carboprost tromethamine)by applying the method of random number table,and the two groups were compared in terms of clinical efficacy,haemostatic effect,coagulation indexes[fibrinogen(FIB),plasminogen time(PT),activated partial thromboplastin time(APTT)],and the effectiveness of the treatment.partial thromboplastin time(APTT)],and pregnancy outcome.Results The treatment efficiency of the control group was lower than that of the observation group,and the difference was statistically significant(P＜0.05).Intraoperative bleeding,postoperative bleeding at 2h and 24h,and blood transfusion were less in the observation group than in the control group,and the difference was statistically significant(P＜0.05).Before treatment,there was no statistically significant difference in PT,APTT and FIB between the two groups(P＞0.05);after treatment,FIB increased and PT and APTT decreased in the two groups,with FIB in the control group lower than that of the observation group,and PT and APTT higher than that of the observation group,with statistically significant differences(P＜0.05).The incidence of hysterectomy,puerperal infection and postoperative abdominal pain in the control group was higher than that in the observation group,and the difference was statistically significant(P＜0.05).Conclusion Patients with placenta praevia undergoing cesarean section for haemorrhage received carboprost tromethamine combined with modified B-lynch suture for haemostasis with remarkable efficacy,which was able to alleviate the stress reaction,improve coagulation function,improve pregnancy outcome,and reduce the incidence of complications.
Carboprost AminobutanetriolModified B-lynch SutureCesarean Section Haemorrhage with Placenta PreviaPregnancy Outcome
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维普
