子宫背带式缝合术治疗剖宫产产后出血的效果

Effect of strap uterine suture in the treatment of postpartum hemorrhage after cesarean section

目的探讨子宫背带式缝合术治疗剖宫产产后出血的效果。方法回顾性分析2012年7月~2015年7月北京市通州区妇幼保健院收治的126例剖宫产产后出血患者的临床资料,根据止血方法将其分为试验组和对照组,各63例。试验组采用子宫背带式缝合术治疗,对照组采用传统的止血方法进行治疗。比较两组患者的治疗效果、手术时间、术中出血量、下床活动时间、住院时间;观察两组患者疼痛、切口感染、呕吐、乏力的发生情况。结果试验组的有效率（98.4%）与对照组（80.9%）比较,差异有统计学意义（P〈0.05）;试验组手术时间、术中出血量[（48.9±15.7）min、（582.4±65.3）m L]与对照组[（80.6±17.3）min、（917.4±92.9）m L]比较,差异均有统计学意义（P〈0.05）;试验组患者下床活动时间、住院时间[（2.16±0.86）、（6.28±1.94）d]与对照组[（4.62±1.19）、（12.05±2.03）d]比较,差异均有统计学意义（P〈0.05）;试验组患者疼痛、切口感染、呕吐、乏力发生率（14.29%、1.59%、3.17%、1.59%）与对照组（28.57%、9.52%、14.29%、7.53%）比较,差异均有统计学意义（P〈0.05）。结论子宫背带式缝合术治疗剖宫产产后出血,操作简单、止血快,治疗效果明显。

Objective To investigate the effect of strap uterine suture in the treatment of postpartum hemorrhage after cesarean section. Methods From July 2012 to July 2015, clinical data of 126 cesarean section patients with postpartum hemorrhage in Tongzhou Maternal Child Health Hospital of Beijing were retrospectively analyzed, according to hemostasis method, they were divided into test group and control group, 63 cases in each group. The experimental group were treated with uterine parceled suture, the control group were treated with traditional methods of hemostasis.Therapeutic effect, operation time and intraoperatve blood soss, time of off-bed activity, hospital stays of patients in the two groups were compared; the occurrence of pain, incision infection, vomiting, fatigue of two groups were observed.Results The effective rate of the experimental group（98.4%） was compared with the control group（80.9%）, the differences was statically significant（P 0.05）; the operation time, intraoperatve blood soss of experimental group [（48.9±15.7） min,（582.4±65.3） m L] were compared with the control group [（80.6±17.3） min,（917.4±92.9） m L], the differences were statically significant（P 0.05）; the time of off-bed activity, hospital stays of the experimental group [（2.16±0.86）,（6.28±1.94） d] were compared with the control group [（4.62±1.19）,（12.05±2.03） d], the differences were statically significant（P 0.05）; the incidences of pain, incision infection, vomiting and fatigue in the experimental group（14.29%,1.59%, 3.17%, 1.59%） were compared with the control group（28.57%, 9.52%, 14.29%, 7.53%）, the differences were statically significant（P 0.05）. Conclusion Strap uterine suture in the treatment of postpartum hemorrhage after cesarean section has the advantages of simple operation and quick hemostasis, the treatment effect is obvious.