子宫捆绑术对剖宫产术后宫缩乏力所致产后出血的治疗效果及并发症率分析  

Analysis of Therapeutic Effect and Complication Rate of Uterine Binding on PostpartumHemorrhage Caused by Uterine Atony after Cesarean Section

作　　者：何红瑞 He Hongrui(Department of Gynecology and Obstetrics,Junxian People's Hospital,Henan Province,Hebi 456250)

机构地区：[1]河南省鹤壁市浚县人民医院妇产科,鹤壁456250

出　　处：《数理医药学杂志》2021年第9期1277-1279,共3页Journal of Mathematical Medicine

摘　　要：目的:分析子宫捆绑术对剖宫产术后宫缩乏力所致产后出血的治疗效果及并发症率。方法:回顾性选取2018年6月~2020年6月某院剖宫产术后宫缩乏力所致产后出血患者100例,依据止血方法分为子宫捆绑术组和常规止血法组各50例,统计分析两组患者的治疗效果、子宫动脉参数、子宫切除率、产褥病发生率、术后24h出血量、住院时间、术后血红蛋白、并发症发生情况。结果:子宫捆绑术组患者的治疗有效率96.00%(48/50)显著高于常规止血法组76.00%(38/50)(P<0.05);子宫捆绑术组患者的手术时间、恶露排净时间均显著短于常规止血法组(P<0.05);子宫捆绑术组患者的子宫切除率、产褥病发生率均显著低于常规止血法组(P<0.05),术后24h出血量显著少于常规止血法组(P<0.05),住院时间显著短于常规止血法组(P<0.05),术后血红蛋白水平显著高于常规止血法组(P<0.05);子宫捆绑术组患者的并发症发生率10.00%(5/50)显著低于常规止血法组34.00%(17/50)(P<0.05)。结论:子宫捆绑术对剖宫产术后宫缩乏力所致产后出血的治疗效果较常规止血法好,更能有效降低患者的并发症发生率。Objective:To analyze the therapeutic effect and complication rate of uterine binding on postpartum hemorrhage caused by uterine atony after cesarean section.Methods:100 cases of postpartum hemorrhage caused by uterine atony after cesarean section in a hospital from June 2018 to June 2020 were retrospectively selected,and they were divided into two groups according to the hemostatic methods:uterine binding group(n=50)and conventional hemostasis group(n=50).The treatment effects,uterine artery parameters,rate of hysterectomy,incidence of puerperal disease,postoperative 24h blood loss,length of hospital stay,postoperative hemoglobin and incidence of complications of the two groups were statistically analyzed.Results:The effective rate of the uterine binding group was 96.00%(48/50),which was significantly higher than 76.00%of the conventional hemostasis group(38/50)(P<0.05).The operation time and elimination time of exposed blood of the of uterine binding group were significantly shorter than those of the conventional hemostasis group(P<0.05).The hysterectomy rate and incidence of puerperal disease in the uterine binding group were significantly lower than those in the conventional hemostasis group(P<0.05),the postoperative 24-hour blood loss was significantly less than that of the conventional hemostasis group(P<0.05),the hospitalization time was significantly shorter than that of the conventional hemostasis group(P<0.05),and the postoperative hemoglobin level was significantly higher than that of the conventional hemostasis group(P<0.05).The complication rate of the uterine binding group was 10.00%(5/50),which was significantly lower than the conventional hemostasis group 34.00%(17/50)(P<0.05).Conclusion:The therapeutic effect of uterine binding operation on postpartum hemorrhage caused by uterine atony after cesarean section is better than conventional hemostasis,which can more effectively reduce the incidence of complications.

关 键 词：剖宫产术后宫缩乏力所致产后出血 子宫捆绑术 常规止血法 子宫动脉参数 

分 类 号：R714.6[医药卫生—妇产科学]