子宫压迫缝合治疗剖宫产产后出血效果评价

Evaluation of the effect of uterine compression suture in the treatment of postpartum hemorrhage

目的 :探讨子宫压迫缝合治疗剖宫产产后出血的临床效果。方法 :选取2012年11月—2014年10月收治的剖宫产产后出血产妇85例,随机分为试验组43例,采用子宫压迫缝合治疗;对照组42例,采取传统手术治疗。观察两组手术时间、产后出血量、产褥病率、子宫切除率、平均住院时间、月经复潮时间。结果:试验组手术时间为(51.57±5.24)min,产后出血量为(672.48±26.84)ml,对照组手术时间为(67.84±6.21)min,产后出血量为(1 106.24±35.77)ml,组间差异有统计学意义(P<0.05)。试验组产褥病率和子宫切除率分别为4.65%(2/43)和0,对照组产褥病率和子宫切除率分别为28.57%(12/42)和9.52%(4/42),组间差异有统计学意义(P<0.05)。试验组平均住院时间为(6.21±1.94)d,低于对照组的(10.33±2.46)d(P<0.05)。结论 :子宫压迫缝合治疗剖宫产产后出血的临床效果较好。

Objective： To investigate the clinical effect of uterine compression suture in the treatment of postpartum hemorrhage of cesarean section. Methods： From Nov. 2012 to Oct. 2014, 85 cases of caesarean postpartum hemorrhage were selected and randomly divided into an experiment group with 43 cases who were treated with uterine compression suture and a control group with 42 cases with conventional surgery. The operative time, postpartum bleeding, puerperal morbidity, hysterectomy rate, average hospital stay and menstruation after tide time were observed in the two groups. Results： The operation time was（51.57±5.24）min, and the amount of postpartum hemorrhage was（672.48 ± 26.84） ml in the experimental group, and the operation time was（67.84±6.21）min, and the amount of postpartum hemorrhage was（1106.24±35.77）ml in the control group, and there were significant differences between the two groups（P0.05）. Puerperal morbidity and hysterectomy rate were 4.65%（2/43） and 0 in the experimental group, puerperal morbidity and hysterectomy rates were 28.57%（12/42） and 9.52%（4/42） in the control group, and there were significant differences between the two groups（P0.05）. The average length of hospital stay in the experimental group was（6.21±1.94） d which was lower than that in the control group[（10.33 ± 2.46）d,（P0.05）]. Conclusion： The uterine compression suture has good clinical effect in the treatment of postpartum hemorrhage after cesarean section.