欣母沛结合改良B-Lynch子宫缝合术在治疗剖宫产难治性子宫收缩乏力性产后出血中的价值探究

目的 探讨剖宫产难治性子宫收缩乏力性产后出血中采用欣母沛结合改良B-Lynch子宫缝合术治疗的效果。方法 对2017年2月—2018年9月某医院剖宫产难治性子宫收缩乏力性产后出血患者72例的临床资料进行回顾性分析,以不同的治疗方式分为对照组(改良B-Lynch子宫缝合术,34例)和观察组(欣母沛结合改良B-Lynch子宫缝合术,38例),对手术相关指标、疗效进行比较。结果 相对于对照组,观察组术中出血量及输血量均较少,住院时间及手术时间均较短,差异有统计学意义(P<0.05);观察组临床有效率为81.58%,高于对照组的55.88%,差异有统计学意义(P<0.05)。结论 剖宫产难治性子宫收缩乏力性产后出血患者采用欣母沛结合改良B-Lynch子宫缝合术治疗效果显著,可有效减少术中出血量和输血量,提高治疗效果。

Study on value of Xinmu Pei combined with modified B-Lynch uterine suture in treatment of intractable postpartum hemorrhage of uterine atony due to cesarean section

Objective To investigate the value of Xinmu Pei combined with the modified B-Lynch uterine suture in the treatment of intractable postpartum hemorrhage of uterine atony due to cesarean section. Methods The clinical data of 72 patients with intractable uterine atony postpartum hemorrhage during cesarean section in a hospital were retrospectively analyzedfrom February 2017 to September 2018. The patients were divided into a control group (modified B-Lynch suture of uterus, 34 case) and an observation group (Xinmu Pei combined with modified B-Lynch suture, 38 cases), and the effects of the different therapies were investigated and compared between two groups. Results Compared with the control group, the amounts of blood loss and blood transfusion in the observation group were less, the hospitalization time and the operation time were shorter, and the difference was statistically significant (P<0.05). The clinical effective rate of the observation group was higher than that of the control group, and the difference was statistically significant (P<0.05). Conclusion Xinmu Pai combined with modified B-Lynch suture is effective in the treatment ofintractable postpartum hemorrhage of uterine atony due to cesarean section, which can effectively reduce the amounts of blood loss and blood transfusion during the operation and improve the therapeutic effect.