子宫背带式缝合术在剖宫产术后出血患者中的应用效果分析  

Analysis on Application Effect of Uterine Brace Suture in Patients with Postpartum Hemorrhage After Cesarean Section

作　　者：陈铀 Chen You(The Second People's Hospital of Panzhou,Panzhou 553537,Guizhou Province,China)

机构地区：[1]盘州市第二人民医院,贵州盘州553537

出　　处：《中国社区医师》2024年第18期59-61,共3页Chinese Community Doctors

摘　　要：目的:分析子宫背带式缝合术在剖宫产术后出血患者中的应用效果。方法:选取2020年1月—2024年1月盘州市第二人民医院收治的剖宫产术后出血患者62例作为研究对象,随机分为观察组(n=32)和对照组(n=30)。对照组采用宫腔纱布填塞止血,观察组采用子宫背带式缝合术止血。比较两组手术效果、并发症发生情况、凝血功能。结果:观察组手术时间短于对照组,出血量少于对照组,下床活动时间早于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P=0.035)。术前,两组凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)及纤维蛋白原(FIB)水平比较,差异无统计学意义(P>0.05);术后24 h,两组PT、APTT短于术前,且观察组短于对照组,两组FIB水平低于术前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:子宫背带式缝合术在剖宫产术后出血患者中的应用效果显著,可减少出血量,改善患者凝血功能,减少并发症,加快康复进程。Objective:To analyze the application effect of uterine brace suture in patients with postpartum hemorrhage after cesarean section.Methods:From January 2020 to January 2024,62 patients with postpartum hemorrhage after cesarean section who were admitted to the Second People's Hospital of Panzhou were selected as the study subjects.They were randomly divided into observation group(n=32)and control group(n=30).The control group was treated with uterine gauze tamponade to stop bleeding,while the observation group was treated with uterine brace suture to stop bleeding.The surgical effect,complications and blood coagulation function were compared between the two groups.Results:The operation time in the observation group was shorter than that in the control group,the amount of blood loss in the observation group was less than that in the control group,the ambulation time in the observation group was earlier than that in the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.035).Before operation,there was no significant difference in prothrombin time(PT),activated partial thromboplastin time(APTT)and fibrinogen(FIB)levels between the two groups(P>0.05).At 24 h after operation,the PT and APTT in the two groups were shorter than those before operation,and these indexes in the observation group were shorter than those in the control group,while the FIB level in the two groups was lower than that before operation,and this index in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The application of uterine brace suture in patients with postpartum hemorrhage after cesarean section has a significant effect,which can reduce the amount of blood loss,improve the blood coagulation function of patients,reduce complications,and accelerate the rehabilitation process.

关 键 词：剖宫产 产后出血 子宫背带式缝合 宫腔纱布填塞 

分 类 号：R719.8[医药卫生—妇产科学]