"U"字缝合止血法对前置胎盘剖宫产患者术中出血量的影响  

Effect of "U" Suture Hemostasis on the Amount of Bleeding in Cesarean Section of Placenta Previa Patients

作　　者：邹红霞 樊霞[2] 张艳 张娟娟 韩香 ZOU Hong-xia;FAN Xia;ZHANG Yan;ZHANG Juan-juan;HAN Xiang(Department of Obstetrics,Northwest Women and Children Hospital,Xi'an,Shaanxi,710061,China;Department of Gynecology,Fourth Hospital of Hebei Medical University,Shijiazhuang,Hebei,050011,China)

机构地区：[1]西北妇女儿童医院产一科,陕西西安710061 [2]河北医科大学第四医院妇科,河北石家庄050011

出　　处：《现代生物医学进展》2018年第22期4330-4333,共4页Progress in Modern Biomedicine

基　　金：陕西省卫生和计划生育委员会科研项目(2015M15-06-11)

摘　　要：目的:探讨"U"字缝合止血法对前置胎盘剖宫产患者术中出血量的影响。方法:将2015年9月至2017年9月在西北妇女院儿童医院行前置胎盘剖宫产术的产妇96例作为研究对象,将其随机分组为两组,每组各48例患者。两组均给予常规止血处理,对照组采用"8"字缝合止血法,观察组为"U"字缝合止血法,比较两组手术指标及止血效果。结果:观察组手术时间、止血时间、术中出血量均显著少(短)于对照组(P<0.05),凝血酶时间(TT)、血浆凝血酶还原时间(PT)、D-二聚体(D-D)、血小板(PLT)以及活化部分凝血活化酶时间(APTT)水平均明显低于对照组(P<0.05),血红蛋白(HGB)、纤维蛋白原(FIB)水平均显著高于对照组(P<0.05);止血有效率[97.92%(47/48)]显著高于对照组[85.42%(41/48)](P<0.05),患者下床活动时间、住院治疗时间均显著短于对照组(P<0.05)。结论:在前置胎盘剖宫产术中,实施"U"字缝合止血法可快速止血,且操作简单,确保降低出血量,降低对患者的损害,保证产妇健康和安全。Objective: To investigate the effect of "U" suture hemostasis on the amount of bleeding in cesarean section of placenta previa patients. Methods: 96 cases of patients undergoing placenta previa cesarean section maternal admitted from September 2015 to September 2017 in our hospital were selected as the research materials and randomly assigned to two groups, with 48 cases in two groups. Both groups of patients were given the routine hemostatic treatment, the control group was given "8" suture hemostasis, the observation group was given "U" suture hemostasis, the index and hemostatic effect were compared between two groups. Results: The operation time, hemostasis time, and intraoperative blood loss of observation group were all significantly less (shorter) than those of the control group (P<0.05), the thrombin time (TT), plasma thrombin reduction time (PT), D-dimer (DD), platelet (PLT), and activated partial clotting activase time (APTT) were significantly lower than those of the control group (P<0.05), the levels of hemoglobin (HGB) and fibrinogen (FIB) were significantly higher than those of the control group (P<0.05), the effective rate of hemostasis[97.92% (47/48)] was significantly higher than that in the control group[(85.42% (41/48)](P<0.05), the time of ambulation and hospitalization were significantly shorter than those of the control group (P<0.05). Conclusion: Implementation of "U" suture hemostasis has the advantages of simple operation in the rapid hemostasis of placenta previa cesarean section, it could reduce the amount of bleeding and ensure maternal health with high safety.

关 键 词：缝合止血法 前置胎盘 剖宫产 出血量 

分 类 号：R719[医药卫生—妇产科学] R714.462[医药卫生—临床医学]