The curative effect of carboprost tromethamine in the treatment of uterine atony postpartum hemorrhage

Abstract

Objective To discuss the curative effect of carboprost tromethamine in the treatment of uterine atony postpartum hemorrhage.Methods 50 cases of refractory uterine atony postpartum hemorrhage patients in cesarean section were divided into the observation group and the control group,each of 25 cases,the control group was given brace suture treatment,the observation group was given carboprost tromethamine base on the control group,curative effect,24h postpartum hemorrhage,hysterectomy,postoperative recovery and the effect of maternal lactation were compared between two groups.Results There showed no postoperative death,no infection,uterine necrosis,intestinal obstruction and other complications between two groups.Effective rate in the observation group was 85％,which was higher than 68％ in the control group (x2 =3.12,P ＜ 0.05).24h bleeding,uterine resection rate in the observation group were less than those in the control group (t =5.87,x2 =2.85,P ＜ 0.05).Puerperal morbidity between two groups was no statistical significance (P ＞ 0.05).the initial time of lactation,24h,48h lactation scores between two group were not significantly different (P ＞ 0.05).B ultrasound review in 6 weeks postpartum were normal.Conclusion Carboprost tromethamine in the treatment of refractory uterine atony postpartum hemorrhage is better,which can reduce the rate of hysterectomy significantly with safe,efficient,rapid and convenient. Key words: Carboprost tromethamine; Uterine inertia; Postpartum hemorrhage; Cesarean section