The clinical effect of cervical lift suture in the treatment of intraoperative bleeding during placenta previa cesarean section
10.3760/cma.j.cn115455-20230315-00258
- VernacularTitle:宫颈提拉缝合术治疗前置胎盘剖宫产术中出血的临床效果观察
- Author:
Yanjuan ZHOU
1
;
Li LI
;
Li LING
;
Wei ZHANG
Author Information
1. 芜湖市第二人民医院产科，芜湖 241000
- Keywords:
Placenta previa;
Cesarean section;
Hemorrhage;
Carboprost tromethamine;
Oxytocin;
Cervical lift suture
- From:
Chinese Journal of Postgraduates of Medicine
2024;47(8):713-717
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of carboprost tromethamine and oxytocin combined with cervical lift suture for intraoperative bleeding of placenta previa cesarean section.Methods:A retrospective analysis was performed on 38 cases of intraoperative bleeding of placenta previa cesarean section in the Second People′s Hospital of Wuhu City from July 2020 to July 2022. According to different treatment methods, they were divided into the observation group (18 cases, treated by carboprost tromethamine and oxytocin combined with cervical lift suture) and the control group (20 cases, treated by carboprost tromethamine combined with oxytocin). The clinical efficacy, hemodynamic parameters before and 2 h after operation, blood loss, blood routine indicators, postoperative recovery of the two groups were compared.Results:The total effective rate between the two groups had no statistical difference ( P>0.05). At 2 h after operation, the systolic blood pressure (SBP), diastolic blood pressure (DBP), pulse and blood oxygen saturation (SpO 2) in the two groups had no statistical differences compared with those before operation ( P>0.05), and had no statistical differences between the two groups ( P>0.05). The blood loss at 2 h and 24 h after operation in the observation group were lower than those in the control group: (612.50 ± 183.44) ml vs. (727.50 ± 168.91) ml, (83.82 ± 20.64) ml vs. (103.48 ± 26.93) ml, (117.70 ± 24.02) ml vs. (136.25 ± 30.51) ml, there were statistical differences ( P<0.05). There were no statistical differences in hematocrit between the two groups before and 24 h after surgery ( P>0.05). The decrease of hemoglobin in the observation group at 24 h after surgery was lower than that in the control group: (15.74 ± 2.66) g/L vs. (18.05 ± 3.58) g/L, there was statistical difference ( P<0.05). There were no statistical differences in postpartum infection, poor uterine involution and duration of lochia between the two groups ( P>0.05). Conclusions:Carboprost tromethamine and oxytocin combined with cervical lift suture can effectively control intraoperative bleeding of placenta previa, reduce the amount of blood loss and the decrease of hemoglobin decline 24 h after operation.
