改良B-Lynch缝合术治疗难治性产后出血的效果及对患者凝血指标及输血率的影响  

Effect of modified B-Lynch suture in the treatment of intractable postpartum hemorrhage and the influence on coagulation indicators and blood transfusion rate in the patients

作　　者：陈新豪 蔡力红 徐倩 CHEN Xinhao;CAI Lihong;XU Qian(Department of Obstetrics,Shangrao People's Hospital,Shangrao,Jiangxi,334000,China)

机构地区：[1]上饶市人民医院产科,江西上饶334000

出　　处：《当代医学》2023年第33期162-165,共4页Contemporary Medicine

摘　　要：目的探讨改良B-Lynch缝合术治疗难治性产后出血(IPH)的效果及对患者凝血指标、输血率的影响。方法选取2019年2月至2021年11月上饶市人民医院收治的80例IPH患者作为研究对象,根据患者治疗方案分为观察组(n=45)与对照组(n=35)。观察组采用改良B-Lynch缝合术治疗,对照组采用宫内球囊压迫术联合阴道塞纱法治疗。比较两组治疗效果、治疗前后凝血指标及术后并发症发生率。结果观察组术中出血量、输血量均少于对照组,输血率低于对照组,术后住院时间短于对照组,差异有统计学意义(P<0.05)。治疗后,两组凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)均短于治疗前,观察组纤维蛋白原(FIB)水平高于治疗前,差异有统计学意义(P<0.05);对照组治疗后FIB水平与治疗前比较差异无统计学意义;治疗后,观察组PT短于对照组,FIB水平明显高于对照组,差异有统计学意义(P<0.05);两组治疗后APTT比较差异无统计学意义。观察组术后并发症发生率为4.44%,与对照组的20.00%相比,差异无统计学意义。结论改良B-Lynch缝合术能有效增强患者治疗效果,降低输血率,改善患者凝血功能,值得临床推广应用。Objective To investigate the effect of modified B-Lynch suture in the treatment of intractable postpartum hemorrhage(IPH)and the influence on coagulation indicators and blood transfusion rate in the patients.Methods A total of 80 patients with IPH admitted to Shangrao People's Hospital from February 2019 to November 2021 were selected as the study subjects,they were divided into the observation group(n=45)and the control group(n=35)according to the treatment plan.The observation group was treated with modified B-Lynch suture,while the control group was treated with intrauterine balloon compression combined with intravaginal yarn plugging.Therapeutic effects,coagulation indicators before and after treatment,and the incidence rates of postoperative complications were compared between the two groups.Results The intraoperative blood loss and blood transfusion volume in the observation group were less than those in the control group,the blood transfusion rate was lower than that in the control group,and the postoperative hospital stay was shorter than that in the control group,the differences were statistically significant(P<0.05).After treatment,the levels of prothrombin time(PT)and activated partial thromboplastin time(APTT)of the two groups were shorter than those before treatment,and the level of fibrinogen(FIB)in the observation group was higher than that before treatment,the differences were statistically significant(P<0.05);there was no significant difference in FIB level in the control group after treatment and before treatment;after treatment,the PT in the observation group was shorter than that in the control group,and the FIB level was significantly higher than that in the control group,the differences were statistically significant(P<0.05);there was no significant difference in APTT between the two groups after treatment.The incidence of postoperative complications in the observation group was 4.44%,compared with 20.00%in the control group,the difference was not statistically significant.Conclusion Modifie

关 键 词：改良B-LYNCH缝合术 难治性产后出血 凝血指标 输血率 

分 类 号：R714.461[医药卫生—妇产科学]