Evaluation of clinical efficacy and safety of carboprost tromethamine injection combined with low B-Lynch suture for intractable postpartum hemorrhage placenta previa

Abstract

Objective To investigate clinical efficacy and safety of carboprost tromethamine injection combined with low B-Lynch suture for intractable postpartum hemorrhage placenta previa. Methods 125 cases of intractable postpartum hemorrhage placenta previa were divided into two groups according to treatment(n=62) with the observation group(n=63), the control group was administered oxytocin, and the line in the placental separation surface 8 interrupted suture; the observation group was used carboprost tromethamine injection combined with low B-Lynch suture.Clinical efficacy, blood loss, bleeding, postoperative bleeding 2h, 24h after blood loss, transfusion rate and index sex hormone levels were compared before and after treatment. Results (1)After treatment, total effective rate of the control group and observation group was 77.42%(48/62) and 95.24%(60/63) respectively.There was a statistically significant difference between the two groups(P 0.05), and after treatment, the index level differences were not statistically significant(P>0.05); (4)the two groups during treatment, liver and kidney functions were normal, three cases of the control group and two cases of the observation group occured nausea and vomiting. Conclusion Carboprost tromethamine injection combined with low B-Lynch suture has significant effect, a small amount of bleeding, high security for intractable postpartum hemorrhage placenta previa, which should be promoted. Key words: Placenta previa; Intrctable postpartum hemorrhage; Carboprost tromethamine injection; Lower B-Lynch suture technique; Hormone