分析欣母沛联合B--lynch缝合术在宫缩乏力性产后出血治疗中的价值

Analysis of the Value of Xinmupei Combined with B--Lynch Suture in the Treatment of Postpartum Hemorrhage due to Uterine Atony

目的研究宫缩乏力性产后出血治疗中B--lynch缝合术与欣母沛联合用于临床治疗的效果。方法选择该院2016年1月-2018年12月因为宫缩乏力导致产后出血的患者60例,按入院顺序分为观察组、对照组分别30例,其中观察组接受欣母沛联合B--lynch缝合术治疗,对照组接受欣母沛治疗,比较两组效果。结果观察组患者治疗有效率为96.67%,明显高于对照组治疗有效率80.00%(χ^2=4.0431,P=0.0444);观察组产后出血量少于对照组,血红蛋白水平高于对照组,住院时间短于对照组(P<0.05);观察组治疗后并发症发生率为10.00%,与对照组并发症发生率13.33%,差异无统计学意义(χ^2=0.1617,P=0.6876)。结论欣母沛联合B--lynch缝合术治疗宫缩乏力性产后出血能够明显减少产后出血量,值得临床推广。

Objective To study the effect of B--lynch suture combined with Xinmupei in the treatment of postpartum hemorrhage due to uterine atony. Methods From January 2016 to December 2018, 60 patients with postpartum hemorrhage due to uterine weakness were divided into observation group (n=30) and control group (n=30). The control group was treated with Xinmupei. The effect was compared between the two groups. Results The effective rate of treatment in the observation group was 96.67%, which was significantly higher than that in the control group (80.00%,χ^2=4.043 1, P=0.044 4). The postpartum hemorrhage of the observation group was less than that of the control group, the level of hemoglobin was higher than that of the control group, and the hospitalization time was shorter than that of the control group(P<0.05). The incidence of complication after treatment in the observation group was 10.00%, and the complication rate of the control group was 13.33%(χ^2=0.161 7, P=0.687 6). Conclusion The combination of Xinmupei and B-lynch suture in the treatment of postpartum hemorrhage due to uterine atony can significantly reduce the amount of postpartum hemorrhage, which is worthy of clinical promotion.