改良子宫压迫缝合术在治疗剖宫产术中子宫收缩乏力性出血中的临床应用  

Clinical Application of Improved Uterine Compression Suture in the Treatment of Contractions Fatigue Hemorrhage in Cesarean Section

作　　者：杨义凤[1] 

机构地区：[1]广西玉林市第二人民医院产科,广西玉林537000

出　　处：《医学综述》2016年第12期2466-2468,共3页Medical Recapitulate

摘　　要：目的探讨改良子宫压迫缝合术在治疗剖宫产术中子宫收缩乏力性出血中的临床效果。方法选取2012年10月至2014年10月玉林市第二人民医院收治的76例行剖宫产术子宫收缩乏力性出血产妇为研究对象,根据随机数字表法分为观察组与对照组,各38例。观察组给予改良子宫压迫缝合术治疗,对照组给予子宫动脉结扎法治疗。观察与评价两组产妇的止血效果、手术时间、术中出血量、术后2 h出血量及术后并发症的发生情况。结果观察组的止血总有效率显著高于对照组[94.8%(36/38)比76.3%(29/38)],差异有统计学意义(P<0.05);观察组,术中出血量、术后2 h出血量均显著少于对照组[(558±86)mL比(958±125)mL,(42±10)mL比(81±13)mL],差异有统计学意义(P<0.05);观察组并发症发生率显著低于对照组[5.3%(2/38)比21.1%(8/38)],差异有统计学意义(P<0.05)。结论在剖宫产术中实施改良子宫压迫缝合术,能有效预防或减少剖宫产术中出血量、术后的出血量,且能有效减少并发症的发生,值得推广。Objective To investigate the clinical effect of improved uterine compression suture in the treatment of contraction fatigue hemorrhage in cesarean section. Methods From Oct. 2012 to Oct. 2014 in Guangxi Yulin City Second People＇s Hospital 76 cases of contraction fatigue hemorrhage in cesarean section were included in the study, and were divided into an observation group and a control group according to the random number table method, 58 cases each. The observation group received improved uterine compression suture treatment, while the control group received the treatment of uterine artery ligation. The hemostasis effect, operative time, intraoperative blood loss, postoperative 2 h blood loss and postoperative complications of the two group were observed and evaluated. Results The total effective rate of hemostasis of the observation group was significantly higher than the control group[94. 8% （36/38） vs 76.3% （29/38） ] ,the difference was statistically significant（ P 〈 0.05 ） ; the intraoperative blood loss, postoperative 2 h blood loss of the observation group were significantly less than the control group[ （558 ±86） mL vs （958 ± 125 ） mL, （42 ±10 ） mL vs （81 ± 13 ） mL ], the difference was statistically significant （P 〈 0.05 ） ;the incidence of complications of the observation group was significantly lower than the control group [5.3% （2/38） vs 21.1% （ 8/38 ） ], the difference was statistically significant （ P 〈 0. 05 ）. Conclusion The implementation of improved uterine compression suture in cesarean section can prevent or reduce the intraoperative and postoperative bleeding in cesarean section, and can effectively reduce the incidence of complications, thus is worthy of promotion.

关 键 词：剖宫产术 改良子宫压迫缝合术 子宫收缩乏力性出血 子宫动脉结扎法 

分 类 号：R71[医药卫生—妇产科学]