Drug combined with B-Lynch suture in treatment of postpartum hemorrhage

Abstract

Objective To explore the effect of drug combined with B-Lynch suture in the treatment of postpartum hemorrhage. Methods 70 cases of asthenia postpartum hemorrhage treated at our hospital from November, 2015 to January, 2017 were selected and randomly divided into a control group and a study group according to different treatment methods, 35 cases for each group. The control group were treated with carboprost tromethamine injection and intrauterine packing and the study group with carboprost tromethamine injection and B-Lynch suture. Results After different treatments, the operation time, intraoperative bleeding volume, bleeding volume within 24 h after operation, and postoperative bleeding time were (89.3±9.4) min, (449.0±136.7) ml, (124.3±45.8) ml, and (7.5±2.0) min in the study group and were (107.4±11.9) min, (658.2±175.8) ml, (341.6±170.5) ml, and (18.7±5.8) min in the control group (P < 0.05). After treatment, the endometrial thickness was thicker, the uterine contraction time was shorter, hemoglobin level was significantly lower, and the blood coagulation factors were better in the study group than in the control group (P < 0.05). Conclusion Carboprost tromethamine injection combining B-Lynch suture surgery in the treatment of postpartum hemorrhage patients can control the postpartum hemorrhage, improve the hemostasis time, and promote uterine involution and has a positive significance in improving blood coagulation factors. Key words: Carboprost tromethamine injection; B-Lynch suture; Intrauterine tamponade; Fatigue postpartum hemorrhage