探讨子宫压迫缝合术在产后出血治疗中的止血效果

Study on Hemostatic Effect of Uterine Compression Suture in the Treatment of Postpartum Hemorrhage

目的探究产后出血采用子宫压迫缝合术的止血效果。方法选取该院2014年5月—2015年10月收治的74例产后出血患者作为该次研究的对象,并采用抽签的方式将其分为2组,对照组37例患者采用常规止血方法治疗,观察组37例患者采用子宫压迫缝合术治疗。并对两组患者的止血效果、手术时间、术中出血量、术后2 h出血量、成功止血时间、RI与S/D数值、术后并发症发生率情况进行对比。结果观察组患者治疗后有效率91.89%,明显高于对照组的72.97%,差异有统计学意义(P<0.05);观察组患者无效率8.11%,明显低于对照组的27.03%,差异有统计学意义(P<0.05);观察组与对照组患者在手术时间方面的对比,差异无统计学意义(P>0.05);观察组患者的术中出血量、术后2 h出血量以及成功止血时间明显短于对照组,差异有统计学意义(P<0.05);观察组与患者患者子宫超声检测结果显著,观察组患者的RI与S/D数值明显比对照组低,差异有统计学意义(P<0.05);观察组患者术后出现2例并发症,并发症发生率5.41%,对照组患者术后出现15例并发症,并发症发生率40.54%,观察组患者术后并发症发生率明显比对照组低,差异有统计学意义(P<0.05)。观察组与对照组患者出现的并发症,通常针对性的处理后都得到痊愈。结论产后出血采用子宫压迫缝合术的止血效果显著,成功止血时间较短,安全性较高。

Objective To study the hemostatic effect of uterine compression suture in the treatment of postpartum hemorrhage. Methods 74 cases of patients with postpartum hemorrhage admitted and treated in our hospital from May 2014 to October 2015 were selected and randomly divided into two groups with 37 cases in each, the control group were treated with routine hemostatic method, while the observation group were treated with uterine compression suture, and the hemostatic effect, operation time, intra0perative bleeding amount,2 h bleeding amount after operation, successful hemostatic time, RI and S/D values and incidence rate of postoperative complications were compared between the two groups. Results The treatment effective rate in the observation group was obviously higher.than that in the control group（91.89% vs 72.97%）, and the difference ：had statistical significance（P〈0.05）, and the difference in the operation time between the two groups had no statistical significance（P〉0.05）, the intraoperative bleeding amount, 2 h bleeding amount after operation and successful hemostatic time in the observation group were obviously shorter than those in the control group, and the differences had statistical significance（P〈0.05）, and the RI and S/D values in te hobseration group were obviously lower than those in the control group, and the difference had statistical significance （P〈0.05）, and the incidence rate of complications in the observation group was obviously lower than that in the control group, （5.41% vs 40.5.4%） and the difference had statistical significance（P〈0.05）,and the patients with complications were cured after the symptomatic treatment. Conclusion The hemostatic effect of uterine compression suture in the treatment of postpartum hemorrhage is obvious with shorter successful hemostatic time and higher safety.