B-Lynch缝合术配合欣母沛用于剖宫产难治性产后出血与宫腔纱布填塞止血的比较  

Comparison of B-Lynch Suture Combined with Xinmupei for Refractory Postpartum Hemorrhage in Cesarean Section and Uterine Gauze Packing for Hemostasis

作　　者：李苏华[1] LI Suhua(Department of Obstetrics and Gynecology,Pizhou Hospital of Traditional Chinese Medicine,Pizhou,Jiangsu Province,221300 China)

机构地区：[1]邳州市中医院妇产科,江苏邳州221300

出　　处：《中外医疗》2022年第14期44-47,共4页China & Foreign Medical Treatment

摘　　要：目的对比在剖宫产难治性产后出血治疗中,采取B-Lynch缝合术配合欣母沛与宫腔纱布填塞止血干预的临床效果。方法方便选取该院2016年2月—2020年12月间收治的78例剖宫产难治性产后出血患者,采取随机数表法将患者均分为对照组(39例,实施宫腔纱布填塞止血治疗)、观察组(39例,实施B-Lynch缝合术配合欣母沛治疗),对比两组患者在不同治疗方案下的术中出血量、手术时长、术后24 h出血情况、住院时长、恶露排尽时长、贫血及感染情况。结果观察组各项术中出血量、手术时长、术后24 h出血情况、住院时长、恶露排尽时长、血红蛋白水平分别为(1128.26±133.46)mL、(96.52±14.82)min、(208.26±33.46)mL、(5.62±0.49)d、(27.85±3.24)d、(97.44±5.30)g/L,均优于对照组(1316.57±138.78)mL、(124.37±19.45)min、(286.46±38.58)mL、(8.34±0.78)d、(35.06±2.77)d、(80.25±4.66)g/L,差异有统计学意义(t=6.108、7.113、9.563、18.441、10.563、15.211,P<0.05);观察组并发症发生率为5.13%,低于对照组的20.51%,差异有统计学意义(χ^(2)=4.129,P<0.05)。结论在剖宫产术中难治性产后出血治疗中,采取B-Lynch缝合术配合欣母沛治疗对比传统宫腔纱布填塞止血干预效果更为显著,止血快且能够有效减少患者术中及术后出血量,减少并发症的发生,提升患者康复进程,值得推广。Objective To compare the clinical effects of B-Lynch suture combined with Xinmupei and intrauterine gauze packing for hemostasis in the treatment of refractory postpartum hemorrhage in cesarean section.Methods A total of 78 patients with refractory postpartum hemorrhage in cesarean section who were admitted to the hospital from February 2016 to December 2020 were conveniently selected,and the patients were equally divided into the control group(39 cases,uterine gauze packing hemostasis treatment)and the observation group(39 cases,B-Lynch suture combined with Xinmu Pei treatment)by random number table method.The intraoperative blood loss,operation time,24 h postoperative bleeding,hospitalization time,hospitalization time,lochia discharge time,anemia and infection were compared between the two groups under different treatment plans.Results In the observation group,the intraoperative blood loss,operation time,24 h postoperative bleeding,hospitalization time,lochia discharge time,and hemoglobin level were(1128.26±133.46)mL,(96.52±14.82)min,(208.26±33.46)mL,(5.62±0.49)d,(27.85±3.24)d,(97.44±5.30)g/L,all were better than the control group(1316.57±138.78)mL,(124.37±19.45)min,(286.46±38.58)mL,(8.34±0.78)d,(35.06±2.77)d,(80.25±4.66)g/L,the differences were statistically significant(t=6.108,7.113,9.563,18.441,10.563,15.211,P<0.05).The incidence of complications in the observation group was 5.13%,which was lower than 20.51%in the control group,the differences were statistically significant(χ^(2)=4.129,P<0.05).Conclusion In the treatment of refractory postpartum hemorrhage during cesarean section,B-Lynch suture combined with Xinmupei treatment is more effective than traditional uterine gauze packing to stop bleeding.Hemostasis is fast and can effectively reduce intraoperative and postoperative blood loss,reduce the occurrence of complications,and improve the recovery process of patients,which is worthy of promotion.

关 键 词：B-LYNCH缝合术 欣母沛 剖宫产 难治性产后出血 纱布填塞 

分 类 号：R719[医药卫生—妇产科学]