背带式缝合术在宫缩乏力性产后出血患者中的应用及其对患者凝血功能的影响

Application of uterine brace suture in patients with postpartum hemorrhage caused by uterine weakness and its effect on blood coagulation function

目的探讨背带式缝合术在宫缩乏力性产后出血患者中的应用及其对患者凝血功能的影响。方法选取2013年11月至2018年11月本院收治的剖宫产后宫缩乏力性产后出血患者80例为研究对象,按照随机数表法将其分为研究组和对照组,每组各40例,对照组患者采用宫腔纱条填塞术治疗,研究组患者采用背带式缝合术治疗。比较两组患者的治疗效果、凝血功能和术后生活质量。结果研究组患者治疗有效率显著高于对照组(P< 0.05)。治疗后,研究组患者凝血酶原时间(prothrombintime,PT)、活化部分凝血活酶时间(activated partial thromboplastin time,APTT)、凝血酶时间(thrombin time,TT)均显著短于对照组(均P < 0.05),纤维蛋白原(fibrinogen,FIB)水平显著高于对照组(P < 0.05)。研究组患者生活质量综合评定问卷(general quality of life inventory-74,GQOLI-74)各维度评分均显著高于对照组(均P < 0.05)。结论背带式缝合术操作简便,止血效果良好,且可保留患者子宫和再生育能力,提高其生活质量。

Objective To explore application of uterine brace suture in patients with postpartum hemorrhage caused by uterine weakness and its effect on blood coagulation function. Method From November 2013 to November 2018, 80 patients with postpartum hemorrhage after cesarean section were divided into study group and control group according to random number table, 40 cases in each group patients in control group were treated with uterine gauze packing, patients in study group were treated with uterine brace suture. The therapeutic effect, coagulation function and postoperative quality of life were compared between the two groups. Result The effective rate of treatment in study group was significantly higher than that in control group (P < 0.05). After treatment, prothrombin time (PT), activated partial thromboplastin time (APTT), thrombin time (TT) in study group were significantly shorter than those in control group (all P < 0.05), fibrinogen (FIB) level was significantly higher than that in control group (P < 0.05). The scores of all dimensions of the general quality of life inventory-74 (GQOLI-74) in study group were significantly higher than those in control group (all P < 0.05). Conclusion Uterine brace suture is simple, the hemostatic effect is good, and the uterus and fertility can be preserved and the quality of life can be improved.