The treatment effect of modified strap uterine suture combined with calcium for uterine atony postpartum hemorrhage
10.3760/cma.j.issn.1008-6706.2012.21.009
- VernacularTitle:改良背带式子宫缝合术加钙剂对宫缩乏力性产后出血的治疗作用
- Author:
Xiuyun LI
;
Qiang LIU
;
Zhaoqin CUI
;
Wenjing ZHANG
;
Yanmin WANG
;
Huiqin CUI
- Publication Type:Journal Article
- Keywords:
Postpartum hemorrhage;
Hemostacis,Surgical;
Calcium;
Cesarean section;
Uterine inertia
- From:
Chinese Journal of Primary Medicine and Pharmacy
2012;19(21):3216-3217
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of modified type B lynch uterine suture combined with calcium in the prevention and treatment for uterine atony postpartum hemorrhage.Methods 63 pregnant women with postpartum hemorrhage risk factors which would be underwent cesarean delivery were randomly divided into the study group (32 cases) and the control group (31 cases).The study group was given intravenous calcium gluconate (10ml) 10 min before the operation,and modified type B lynch uterine suture in the operation.The control group was only given the same dose of oxytocin of the study group.Results The amount of bleeding intraoperation and 24h after the operation was (182.6 ± 47.7) ml and (214.1 ± 63.8) ml,respectively,the time of intraoperative uterine contractions was (3.8 ± 1.3)min,the degree of hemoglobin decreased 24h after the operation was (9.2 ±2.0) min in the study group,which were less than those of the control group(t =7.26,2.97,2.39,4.01,all P ＜ 0.05).There was no statistically significant difference in puerperal morbidity and neonatal asphyxia between the two groups (all P ＞ 0.05).Conclusion The modified type B lynch uterine suture combined with calcium could effectively prevent and treat uterine atony postpartum hemorrhage,and could not increase the rate of neonatal asphyxia and puerperal morbidity.
