论文部分内容阅读
目的探讨垂体后叶素联合套扎止血法对腹腔镜下子宫肌瘤剔除术患者止血效果及循环系统的影响。方法选取在开封市妇产医院实施腹腔镜下子宫肌瘤剔除术的患者85例,随机分为对照组42例,观察组43例,对照组予以垂体后叶素后缝合止血,观察组予以垂体后叶素+套扎止血法止血,比较两组肌瘤表面切开时、剥瘤时、缝合肌瘤残腔时出血量及总出血量,并统计注药前、注药5min、注药15min循环系统各指标[舒张压(DBP)、收缩压(SBP)及心率(HR)]变化情况。结果观察组剥瘤时、缝合肌瘤残腔时及总出血量均小于对照组,差异具有统计学意义(P<0.05);注药5min及15min观察组HR低于对照组,SBP及DBP高于对照组,差异具有统计学意义(P<0.05)。结论对腹腔镜下子宫肌瘤剔除术患者予以垂体后叶素联合套扎止血法止血,效果显著,对循环系统影响小。
Objective To investigate the effect of pituitrin combined with ligation and hemostasis on hemostatic effect and circulatory system in patients undergoing laparoscopic myomectomy. Methods Eighty-five patients with laparoscopic myomectomy in Kaifeng Maternity Hospital were randomly divided into control group (n = 42) and observation group (n = 43). The control group was given pituitrin after suture and the observation group was given pituitary Vasopressin + ligation hemostasis to stop bleeding, compared the two groups of myomecotic surface incision, stripping tumor, suture myoma residual volume and total blood loss, and statistics before injection, injection 5min, injection 15min Circulatory system indicators [diastolic blood pressure (DBP), systolic blood pressure (SBP) and heart rate (HR) changes. Results At the time of tumor stripping, the residual sutures and the total amount of bleeding in the suture myoma were all less than those in the control group (P <0.05). The HRs of the observation group at 5 and 15 minutes after injection were lower than those in the control group, with high SBP and DBP In the control group, the difference was statistically significant (P <0.05). Conclusion Laparoscopic myomectomy in patients with pituitrin combined ligation hemostasis to stop bleeding, the effect is significant, little effect on the circulatory system.