标题：子宫下段压迫缝合术联合卡前列素氨丁三醇在剖宫产子宫下段出血中的临床应用

      作者：高燕玲，冯秀芳，池文霞    (肇庆市广宁人民医院妇产科，广东 肇庆 526300)

      卷次： 2017年28卷8期

      【摘要】 目的 探讨子宫下段压迫缝合术联合卡前列素氨丁三醇在剖宫产子宫下段出血中的应用价值。方法 选择 2014年1月至2016年8月期间在我院产科剖宫产分娩的50例产妇为研究对象，均合并剖宫产术中子宫下段出血。根据随机数字表法随机分为观察组和对照组，每组25例，对照组术中给予子宫下段注射卡前列素氨丁三醇治疗，观察组术中给予子宫下段压迫缝合术联合卡前列素氨丁三醇治疗，比较两组产妇术中及术后的出血情况。结果 观察组产妇术中出血量及产后24 h出血量分别为(421.5±120.3) mL、(658.2±145.1) mL，明显少于对照组的(470.4±123.8) mL、(825.8±172.7) mL，观察组产后出血发生率为16.0%，明显低于对照组的40.0%，差异均有统计学意义(P<0.05)；观察组不良反应发生率为24.0%，与对照组的16.0%比较差异无统计学意义(P>0.05)。结论 子宫下段压迫缝合术联合卡前列素氨丁三醇治疗剖宫产术中子宫下段出血可显著减少术中及术后出血量。
      【关键词】 剖宫产；宫缩乏力；产后出血；压迫缝合术；卡前列素氨丁三醇
      【中图分类号】 R719.8 【文献标识码】 A 【文章编号】 1003—6350（2017）08—1342—03

Clinical study of lower uterine segment compression suture combined with carboprost in the treatment of loweruterine segment hemorrhage during cesarean section.
GAO Yan-ling, FENG Xiu-fang, CHI Wen-xia. Department ofObstetrics and Gynecology, Guangning People's Hospital, Zhaoqing 526300, Guangdong, CHINA
【Abstract】 Objective To investigate the value of lower uterine segment compression suture combined with car-boprost in the treatment of lower uterine segment hemorrhage during cesarean section. Methods Fifty women undergo-ing cesarean section in Department of Obstetrics in our hospital from January 2014 to August 2016 were selected, all ofwhich had lower uterine segment hemorrhage during cesarean section. The subjects were randomized into observationgroup (n=25) and control group (n=25) according to the random number table method. The control group was treatedwith carboprost trometamol in the lower uterine segment during operation, and the observation group was treated withcompression suture combined with carboprost during operation. The intraoperative and postoperative bleeding was com-pared between the two groups. Results The amount of hemorrhage during cesarean section and 24 h postpartum in theobservation group were (421.5 ± 120.3) mL and (658.2 ± 145.1) mL respectively, which were significantly lower than(470.4±123.8) mL and (825.8±172.7) mL in the control group. The postpartum hemorrhage rate in the observation group·临床经验·doi:10.3969/j.issn.1003-6350.2017.08.050基金项目：广东省肇庆市科技创新计划项目（编号：00212101150509041）