观察子宫压缩缝合法与宫腔填纱治疗剖宫产产后出血的疗效

Observation of uterine cavity filling yarn compression suture and cesarean section of postpartum hemorrhage curative effect

目的观察比较子宫压缩缝合法与宫腔填纱治疗剖宫产产后出血的疗效。方法选取2015年1月-2016年1月我院收治的剖宫产产后出血产妇80例为研究对象,随机分成缝合组和填纱组,各40例。缝合组采用子宫压缩缝合法治疗,填纱组采用宫腔填纱治疗,观察比较两组产妇的术中出血量、止血时间及不良反应情况。结果缝合组产妇的术中出血量显著少于填纱组产妇,止血时间显著短于填纱组产妇,差异有统计学意义（P〈0.05）。缝合组产妇的不良反应发生率显著低于填纱组产妇,数据差异有统计学意义（P〈0.05）。结论采用子宫压缩缝合法治疗剖宫产产后出血比宫腔填纱治疗更加安全有效[1],值得于临床上推广应用。

Objective To compare the efficacy of uterine compression suture and uterine cavity filling in the treatment of postpartum hemorrhage after cesarean section.Methods Selected in our hospital from January 2015 to 2016 January during this period were studied in 80 cases of cesarean section postpartum maternal bleeding as a clinical study were randomly divided into suture group and flling yarn group two groups,each with 40 cases in each,to maternal suture group with uterine compression suture in the treatment,to fll in the yarn group maternal by intrauterine packing with gauze to treat were compared between the two groups of women with bleeding,bleeding time and adverse reaction of.Results The amount of bleeding in the suture group was signifcantly less than that of the flling yarn group,the bleeding time was signifcantly shorter than that of the flling yarn group,the difference was statistically signifcant（P〈0.05）.The incidence of adverse reactions in the suture group was signifcantly lower than that in the fll yarn group,and the difference was statistically signifcant（P〈0.05）.Conclusion It is more safe and effective to treat postpartum hemorrhage of cesarean section with uterine compression suture.It is worth to be popularized and applied in clinic.