子宫捆绑术在剖宫产术中子宫收缩乏力的临床应用及并发症分析  

Analysis on clinical application and complications of uterine binding method for uterine inertia in cesarean section

作　　者：朱红梅[1] 李平[1] 刘芳林[1] 霍晓红[1] 赵娟[1] 

机构地区：[1]安徽省阜阳市第二人民医院妇产科,236015

出　　处：《中国妇幼保健》2015年第12期1941-1943,共3页Maternal and Child Health Care of China

摘　　要：目的：探讨子宫捆绑术在剖宫产术中子宫收缩乏力所致产后出血的临床应用及并发症发生情况。方法：选取2011年1月-2014年1月期间该院收治的60例在剖宫产术中子宫收缩乏力所致产后出血患者,随机将其分成对照组和观察组,每组各30例,其中对照组患者给予常规止血法,观察组患者给予子宫捆绑术治疗。治疗结束后,比较两组患者临床疗效、各项临床指标改善情况、血常规指标改善情况以及术后并发症情况。结果：观察组患者的治疗有效率（100.00%）明显高于对照组患者（76.67%）,差异有统计学意义（P〈0.05）;观察组患者术后2 h出血量、产后血性恶露干净时间以及月经复潮时间均明显小于对照组患者,差异有统计学意义（P〈0.05）;观察组患者术后血红蛋白、血细胞比容以及红细胞指标改善情况明显优于对照组患者,差异有统计学意义（P〈0.05）;观察组患者术后并发症总发生率（13.33%）明显低于对照组患者（40.00%）,差异有统计学意义（P〈0.05）。结论：子宫捆绑术能够明显改善剖宫产术中子宫收缩乏力所致的产后出血患者的各项临床指标以及血常规指标,减少术后出血量及术后并发症,值得临床推广应用。Objective： To explore the clinical application and complications of uterine binding method for postpartum hemorrhage caused by uterine inertia in cesarean section. Methods： Sixty patients with postpartum hemorrhage caused by uterine inertia in cesarean section were selected from the hospital from January 2011 to January 2014,then the patients were randomly divided into control group and observation group,30 patients in each group; the patients in control group were treated with conventional hemostasis,while the patients in observation group were treated with uterine binding method. After treatment,the clinical efficacies,improvement of clinical indicators,improvement of blood routine indicators,and postoperative complications in the two groups were compared. Results： The effective rate in observation group was 100. 00%,which was statistically significantly higher than that in control group（ 76. 67%）（ P0. 05）; the amount of postpartum hemorrhage at two hours after operation,the cleaning time of postpartum bloody lochia,and return time of menses in observation group were statistically significantly less than those in control group（ P〈0. 05）; the improvement of hemoglobin,hematocrit,and red blood cell index after operation in observation group were statistically significantly better than those in control group（ P〈0. 05）; the total incidence rate of postoperative complications in observation group was 13. 33%,which was statistically significantly lower than that in control group（ 40. 00%）（ P〈0. 05）. Conclusion： Uterine binding method can significantly improve the clinical indicators and blood routine indicators and reduce the amount of postoperative hemorrhage and complications among postpartum hemorrhage patients caused by uterine inertia in cesarean section,which is worthy of clinical promotion and application.

关 键 词：子宫捆绑术 剖宫产 子宫收缩乏力 

分 类 号：R719[医药卫生—妇产科学]