简易子宫压迫缝合术在剖宫产术中宫缩乏力性出血产妇中的应用效果

Application effect of simple uterine compression suture in parturients with uterine atony bleeding during cesarean section

目的研究简易子宫压迫缝合术在剖宫产术中宫缩乏力性出血产妇中的应用效果。方法选取2015年1月至2016年1月在我院接受剖宫产手术并出现子宫收缩乏力性出血的产妇84例作为研究对象。根据数字表法将产妇随机分为观察组与对照组,各42例。对照组产妇实施子宫动脉结扎法,观察组则实施简易子宫压迫缝合术。比较两组产妇的止血效果、术中出血量及术后并发症发生情况。结果观察组产妇止血总有效率高于对照组产妇(P<0.05)。观察组产妇术中出血量和术后2 h出血量均少于对照组产妇(P<0.05)。观察组产妇并发症总发生率为4.76%,显著低于对照组产妇的19.05%(P<0.05)。结论对子宫收缩乏力性出血的产妇实施简易子宫压迫缝合术,能显著减少手术出血量,降低术后并发症发生率,值得在临床推广应用。

Objective To study application effect of simple uterine compression suture in parturients with uterine atony bleeding during cesarean section.Methods A total of 84 parturients with uterine atony bleeding who underwent cesarean section in our hospital from January 2015 to January 2016 were selected as the study objects and divided into observation group and control group according to random digital table method, with 42 cases in each group.The control group was treated with uterine artery ligation, while the observation group was treated with simple uterine compression suture.The hemostatic effects, the amount of bleeding during operation and the total incidence of complications were compared between the two groups.Results The total effective rate of hemostasis in the observation group was higher than that in the control group (P<0.05).The amounts of bleeding during operation and 2 hours after operation in the observation group were less than those in the control group(P<0.05).The total incidence of complications in the observation group was 4.76%, which was significantly lower than 19.05% in the control group(P<0.05).Conclusion The simple uterine compression suture can effectively reduce the amount of bleeding during operation and the incidence of complications after operation.It is worth popularizing and applying in clinic.