改良式B-Lynch缝合术与网压晨笛缝合术治疗剖宫产术中出血对性激素水平及血红蛋白的影响  

Effect of Modified B-Lynch Suture and Net Pressure Morning Flute Suture on the Level of Sex Hormones and Hemoglobin in the Treatment of Bleeding During Cesarean Section

作　　者：王冠甲 陈虎 王晓林 WANG Guan-jia;CHEN Hu;WANG Xiao-lin(Department of Obstetrics and Gynecology,Wolong District Maternal and Child Health Hospital,Nanyang 473000 China;Department of Obstetrics and Gynecology,Zhengzhou 450007 China)

机构地区：[1]南阳市卧龙区妇幼保健院妇产科,河南南阳473000 [2]郑州市中心医院妇产科,郑州450007

出　　处：《内蒙古医学杂志》2022年第2期136-139,143,共5页Inner Mongolia Medical Journal

基　　金：河南省科学技术厅基金(编号:162102310231)。

摘　　要：目的 探讨改良式B-Lynch缝合术与网压晨笛缝合术治疗剖宫产术中出血对性激素水平及血红蛋白的影响。方法 回顾性分析2017年2月至2020年3月诊治113例剖宫产术中出血患者的临床资料,按照止血方法的不同分为观察组(予以网压晨笛缝合术,n=57)与对照组(予以改良式B-Lynch缝合术,n=56),对比雌二醇(E2)、促卵泡激素(FSH)、促黄体激素(LH)、血红蛋白、产后出血量,以及产后12、24、48 h出血率。结果 重复测量方差分析显示,两组E2、FSH、LH时点、组间、交互比较无显著差异(P>0.05)。简单效应LSD-t成对比较显示,术后3 d、术后1、3个月,两组E2、FSH、LH比较无显著差异(P>0.05)。术前,观察组血红蛋白与对照组相比,差异无统计学意义(P>0.05);术后3 d,观察组的血红蛋白高于对照组(P<0.05);观察组产后2、24 h出血量低于对照组(P<0.05)。广义估计方程分析结果显示:组间方面,观察组出血率低于对照组(P<0.05);时点方面,提示不同时点下两组出血率比较,差异无统计学意义(P>0.05)。结论 改良式B-Lynch缝合术与网压晨笛缝合术相比,后者治疗剖宫产术中出血的效果更加显著,能减少产后出血量。Objective To investigate the effect of modified B-Lynch suture and net pressure morning flute suture on the level of sex hormones and hemoglobin in the treatment of bleeding during cesarean section.Methods A retrospective analysis of the clinical data of 113 patients with bleeding during cesarean section diagnosed and treated from February 2017 to March 2020,and divided into the observation group according to the different methods of hemostasis(underground pressure morning flute suture,n=57)Compared with the control group(improved B-Lynch suture,n=56),compared with estradiol(E2),follicle-stimulating hormone(FSH),luteinizing hormone(LH),hemoglobin,postpartum hemorrhage,and 12 h after childbirth,24 h,48 h bleeding rate.Results Repeated measures analysis of variance showed that there was no significant difference in E2,FSH,LH time point,between groups,and interaction comparison between the two groups(P>0.05).The simple effect LSD-t pairwise comparison showed that there was no significant difference in E2,FSH,and LH between the two groups at 3 days after surgery and 1,3 months after surgery(P>0.05).Before operation,there was no significant difference in hemoglobin between the observation group and the control group(P>0.05);3 days after the operation,the hemoglobin of the observation group was higher than that of the control group(P<0.05);the observation group had low blood loss at 2 h and 24 h after delivery In the control group(P<0.05).The results of the generalized estimation equation analysis showed that the bleeding rate of the observation group was lower than that of the control group(P<0.05);in terms of time point,it was suggested that the difference in bleeding rate between the two groups at different time points was not statistically significant(P>0.05).Conclusion Compared with modified B-Lynch suture,the latter is more effective in treating bleeding during cesarean section and can reduce postpartum hemorrhage.

关 键 词：剖宫产 性激素 血红蛋白 

分 类 号：R713[医药卫生—妇产科学]