必须声明标量变量 "@Script_ID"。 马来酸麦角新碱联合B-Lynch缝合术预防剖宫产术中子宫收缩乏力性出血的临床效果-《赣南医学院学报》

[1]蔡钰峰.马来酸麦角新碱联合B-Lynch缝合术预防剖宫产术中子宫收缩乏力性出血的临床效果[J].赣南医学院学报,2019,39(10):1018-1021.[doi:10.3969/j.issn.1001-5779.2019.10.011]
 CAI Yu-feng.Clinical observation of using ergometrine maleate and B-Lynch suture in preventing hemorrhage caused by uterine atony during cesarean section[J].,2019,39(10):1018-1021.[doi:10.3969/j.issn.1001-5779.2019.10.011]
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马来酸麦角新碱联合B-Lynch缝合术预防剖宫产术中子宫收缩乏力性出血的临床效果()
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《赣南医学院学报》[ISSN:1001-5779/CN:36-1154/R]

卷:
39
期数:
2019年10期
页码:
1018-1021
栏目:
临床研究
出版日期:
2019-11-24

文章信息/Info

Title:
Clinical observation of using ergometrine maleate and B-Lynch suture in preventing hemorrhage caused by uterine atony during cesarean section
文章编号:
1001-5779(2019)10-1018-04
作者:
蔡钰峰
赣南医学院第一附属医院妇产科,江西 赣州 341000
Author(s):
CAI Yu-feng
Department of Gynecology and Obstetrics, The First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi 341000
关键词:
马来麦角新碱 B-Lynch缝合 子宫收缩乏力性出血
Keywords:
Ergometrine maleate B-Lynch suture Hemorrhage caused by uterine atony
分类号:
R719.8
DOI:
10.3969/j.issn.1001-5779.2019.10.011
文献标志码:
A
摘要:
目的:研究马来酸麦角新碱联合B-Lynch缝合术预防剖宫产术中子宫收缩乏力性出血的临床效果。方法:选择行剖宫产手术具有出血高危因素的70例产妇为研究对象,按照数字抽签随机将其分为观察组和对照组,各35例。观察组胎儿娩出后注射马来酸麦角新碱及行B-Lynch缝合术,对照组在胎儿娩出后给予缩宫素及行B-Lynch缝合术,比较两组不同时间段出血量(术中、回病房后至术后2 h、术后3~24 h)、术后24 h血红蛋白下降情况及用药不良反应。结果:观察组宫缩乏力治疗显效率91.4%,明显高于对照组71.4%(P<0.05); 观察组术中、回病房至术后2 h、术后3~24 h出血量、术后24 h血红蛋白下降值低于对照组(P<0.05); 药物不良反应发生率比较两组差异无统计学意义。结论:马来酸麦角新碱联合B-Lynch缝合术可有效预防剖宫产术中子宫收缩乏力导致的出血,显著减少患者术中、术后出血量及产后出血率,无严重不良反应,值得应用推广。
Abstract:
Objective: To research the clinical efficacy of using ergometrine maleate and B-Lynch suture in preventing hemorrhage caused by uterine atony during cesarean section.Methods: 70 puerperas who were inclined to postpartum hemorrhage during cesarean section were studied.They were randomly divided into observation group and control group, each with 35 patients.The observation group were injected with ergometrine maleateand, while the control group were injected with oxytocin, and both groups were performed B-Lynch suture immediately after fetal delivery.The blood loss of the two groups in different time periods, that is, during the operation, from back to ward until 2 hours after that, and 3-24 hours after that, were measured and compared.Besides that, the decreases in hemoglobin and adverse drug reactions of 24 hours after the operation have also been compared.Results: The response rate of the observation group was 91.4%, obviously higher than that(71.4%)of the control group(P<0.05).The blood loss of the observation group during the operation, two hours after operation and back to wards, and 3-24 hours after that, the decreases in hemoglobin of 24 hours after the operation were lower than that of the control group(P<0.05).The rate of adverse drug reactions of the study group was 5%.Conclusions: Using ergometrine maleate and B-Lynch suture in combination can effectively prevent hemorrhage caused by uterine atony during cesarean section and significantly decrease blood loss during and after the operation and reduce the rate of postpartum hemorrhage.In addition, there is no serious adverse drug reactions.Therefore, it is worth popularlizing.

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备注/Memo

备注/Memo:
作者简介: 蔡钰峰,女,硕士,主治医师,研究方向:妇产科。E-mail:cai.yufeng2008@163.com
更新日期/Last Update: 2019-11-20