Abstract
Objective To explore the effect of carboprost tromethamine combined with toothless oval forceps in the treatment of postpartum hemorrhage. Methods 110 cases of postpartum hemorrhage treated at our hospital from June, 2016 to June, 2018 were selected and divided into a control group and an observation group according to the treatment methods, 55cases for each group. The control group were treated with carboprost tromethamine, while the observation groupwith carboprost tromethamine and toothless oval forceps. The therapeutic effect, the bleeding volumes 2 and 24 hours after delivery, the blood transfusion volume, the hemostasis time, the length of hospital stay, and the incidence of complications were compared between the two groups. The levels of blood routine (RBC and Hb) were measured and compared between the two groups before and 24 hours after delivery. Results The postpartumbleeding volume, blood transfusion volume, hemostasis time, and length of hospital stay were (63.49±11.23) ml, (346.91±25.42) ml, (35.84±6.31) min, and (6.35±2.48) din the observation group, which were lower than those in the control group (all P<0.05). The total effective rate washigher in the observation group than in the control group [92.72% (51/55) vs. (78.18% (43/55), P<0.05)]. 24 hours after delivery, the levels of Hb and RBC in the two groups were lower than those before delivery, while those in the observation group were higher than those in the control group (P<0.05). The incidence of complications was lower in the observation group than that in the control group [5.45% (3/55) vs. 18.18% (10/55), P<0.05]. Conclusion Carboprosttromethamine combined with toothless oval forceps for postpartum hemorrhage can improve the therapeutic effect, quickly stop bleeding, reduce bleeding volume, and help patients recover with high safety. Key words: Carboprost tromethamine; Toothless forceps; Postpartum hemorrhage; Bleeding volume; Hemostasis time; Blood routine
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