摘要
目的探讨欣母沛联合改良B-Lynch缝合术治疗剖宫产(CS)宫缩乏力性产后出血(UAPH)的临床效果。方法选择2012年1月~2016年1月期间惠州市第一妇幼保健院妇产科收治的剖宫产术中宫缩乏力性产后出血患者198例,按照随机对照试验法(RCT)分为两组,对照组99例运用欣母沛联合宫腔填塞纱条治疗;观察组99例采取欣母沛联合改良B-Lynch缝合术治疗,并比较两组的临床止血、疗效。结果观察组总有效率为100.00%而明显高于对照组83.84%,差异有统计学意义(χ2=17.407,P<0.05),观察组手术时间、止血时间和住院时间均显著的短于对照组,差异有统计学意义(t=2.453、2.675、2.136,P<0.05),而观术中出血量及术后24h阴道出血量均明显少于对照组,差异有统计学意义(t=3.162、4.749,P<0.05),两组术后血红蛋白(Hb)水平比较,差异无统计学意义(t=1.287,P>0.05),观察组发并发症发生率2.02%明显低于对照组18.18%,差异有统计学意义(χ2=14.238,P<0.05)。结论欣母沛联合改良B-Lynch缝合术治疗剖宫产(CS)宫缩乏力性产后出血(UAPH)疗效确切,安全、简便,可快速控制术中大出血、能够显著地降低出血量,缩短手术时间及减少住院时间,术后并发症发生率低,是一种理想的治疗方法。
Objective To investigate the clinical effect of Hemabate combined with modified B-Lynch suture in the treatment of cesarean section（CS）uterine contraction postpartum hemorrhage （UAPH）. Methods A total of 198 patients with postpartum hemorrhage cured in Department of Obstetrics and Gynecology of Huizhou First Maternal and Child Health Hospital from January 2013 to January 2016 were selected and divided into two groups according to the results of randomized controlled trial （RCT）.99 cases in the control group were treated with Hemabate combined with intrauterine lobes.99 cases in observation group were treated with Hemabate combined with modified B-Lynch suture.The clinical hemostasis and curative effect between the two groups were compared. Results The total effective rate was 100.00 % in observation group,which was significantly higher than that in control group with 83.84%（X2=17.407,P 〈 0.05）.The operation time,the time of hospitalization and the hospitalization time in observation group were significantly shorter than those in control group（t=2.453,2.675,3.162,P 〈 0.05）.The levels of hemorrhagic hemoglobin （Hb）in the observation group were significantly lower than those in control group （t=1.287, P 〈 0.05）. The incidence of complications in the observation group was 2.02 % ,which was significantly lower than that in the control group（18.18%, X2=14.238,P 〈 0.05）. Conclusion （CS） uterine contraction of postpartum hemorrhage （UAPH） is effective, safe and simple.It can quickly control intraoperative bleeding,significantly reduce the amount of bleeding,shorten the operation time,and reduce the length of hospitalization.The postoperative complications is low,and it is an ideal treatment.
出处
《中国医药科学》
2017年第4期121-124,共4页
China Medicine And Pharmacy
