B-Lynch 缝合术联合米索前列醇预防治疗高危产妇产后出血临床效果观察

Clinical observation of preventive treatment effects of B-Lynch suture combined misoprostol in high risk lying-in women with postpartum hemorrhage

目的：探讨B-Lynch缝合术配合米索前列醇预防治疗高危产妇产后出血的临床效果。方法行剖宫产分娩的82例有产后出血高危因素的产妇，按数字表法随机分为观察组A组42例和对照组B组40例，A组采用B-Lynch缝合术联合米索前列醇方案预防治疗，B组应用米索前列醇预防治疗，观察比较两组产妇的手术出血量、疗效及并发症情况。结果 A组与B组患者术中出血量比较（t＝－27．758，P＜0．01），术后2 h出血量比较（t＝－22．717，P＜0．01），及术后24 h的出血量比较（t＝－48．162，P＜0．01），差异均有统计学意义；A组在疗效上优于B组有统计学意义（χ2＝6．797，P＜0．05），A组总并发症发生率低于B组，差异有统计学意义（χ2＝28．616，P＜0．01）。结论 B-Lynch缝合术配合米索前列醇治疗效果更佳，能显著减少高危孕妇剖宫产术中及术后出血量，降低术后并发症的发生率，应在临床推广应用。

Objective To explore the clinical treatment effects of high risk lying-in women with postpartum hemorrhage by using B-Lynch suture combined misoprostol.Methods 82 high risk lying-in women with postpar-tum hemorrhage underwent cesarean delivery,were randomly divided into the observation group A （ n=42） and the controlled group B（n=40）.B-Lynch suture combined misoprostol were used for preventive treatment in group A, and misoprostol were used in group B.Amount of bleeding,the effects and complications of lying-in women in group A and group B were observed and comparerd.Results There were significant differences in amount of bleeding of intraoperative period （t=-27.758,P〈0.01）,2 hours （t=-22.717,P〈0.01） and 24 hours （t=-48.162,P〈0.01） after delivery in group A and group B （P〈0.01）,respectively.The total effective rate of group A was superior to that of group B（χ2 =6.797,P〈0.01）.The complication incidence in group A was significantly lower than that in group B （χ2 =28.616,P〈0.01）.Conclusion The treatment effects of B-Lynch suture combined misoprostol for high risk lying-in women are superior.It can reduce significantly the intraoperative and postoporative amount of bleeding,and decrease complication incidence.The method is easy to master and ought to be promoted in the clinic.