垂体后叶素及缩宫素止血在腹腔镜肌壁间子宫肌瘤剔除术中应用的比较观察

目的:对比分析采用垂体后叶素及缩宫素止血在腹腔镜子宫肌瘤剔除术中临床疗效。方法:将我院接受治疗的76例患者按照手术止血方法,分为垂体后叶素止血组(A组)与缩宫素止血组(B组),观察两组患者各自手术治疗后的时间、术中出血量、术后血红蛋白水平的变化以及治疗前后血压的变化情况。结果:两组患者手术治疗均成功完成,A组患者在手术时间、术中出血量、术后血红蛋白下降差值等方面,均显著优于B组患者(P0.05);A组患者用药15 min后收缩压水平与B组差异显著(P0.05),而30min与45 min后,二者差异不显著(P0.05)。两组患者用药前,HR和SPO2水平对比差异不显著(P0.05)。两组患者用药后HR与用药前对比,差异均显著(均P0.05)。而SPO2在两组内以及两组间对比,差异均不显著(P0.05)。A组患者用药5 min和10 min、30 min后HR分别与B组对比,差异均具有显著性(均P0.05)。结论:临床上进行腹腔镜手术治疗子宫肌瘤疾病过程中,采用垂体后叶素对患者进行止血,能有效减少手术治疗时间、降低手术出血量水平,手术止血效果整体优于缩宫素止血,产生的临床效果显著,值得临床上进一步推广应用。

Comparation on Hemostatic Efficacy of Pituitrin and Oxytocin Hemostatic Applying to Muscle Intramural Laparoscopic Uterine Myoma Eliminating Technique

Objective:To compare and analyze the clinical curative effect of pituitrin and oxytocin bleeding applying to laparoscopic uterine fibroids eliminate intraoperative.Methods:According to surgical hemostasis method, 76 patients in our hospital were divided into pituitrin bleeding group (group A) and oxytocin bleeding group (group B), surgery time of both groups were observed, intraoperative blood loss, so were the change of postoperative hemoglobin levels and the change of blood pressure before and after the treatment after their surgery.Results:Surgical treatment were successfully completed in both groups, operation time, intraoperative blood loss, postoperative hemoglobin decreased difference, et al, were significantly better in group A than groupB (P<0.05); Systolic blood pressure levels at 15 mins after treating showed significant difference between the two groups (P<0.05), while after 30 min and 45 min, the differences were not significant (P>0.05). Before drug treatment, respectively compared 2 groups of patients with HR and SPO2 level, the differences were not significant (all P>0.05). 2 groups of patients before and after treatment compared with HR, the differences were significant (all P<0.05). And the 2 groups'' SPO2 compared in or between them, the differences were not significant (all P>0.05). A group of patients treated with drug after 5min and 10min, 30 min''s HR compared respectively with group B, the differences were significant (all P<0.05).Conclusion:Laparoscopic surgical in the treatment of uterine fibroids clinical disease, in the process of using pituitrin in patients with bleeding, can effectively shorten the surgery time and reduce the level of surgical blood loss, of which the surgical hemostasis effect as a whole is better than that of oxytocin bleeding, clinical effect is remarkable, is worth further clinical application.