改良式子宫压迫缝合术治疗产后出血的效果研讨

Study on the effect of modified uterine compression suture in the treatme nt of postpartum hemorrhage

目的:探究用改良式子宫压迫缝合术对接受剖宫产手术后并发产后出血(Postpartum haemorrhage,PPH)的产妇进行治疗的效果。方法:将2016年1月至2019年11月在珠海市香洲区第二人民医院进行剖宫产手术后并发PPH的200例产妇随机分为子宫压迫缝合术组(UCS组,n=100)与宫腔纱布填塞术组(IGP组,n=100)。分别采用改良式子宫压迫缝合术与宫腔纱布填塞术对UCS组产妇与IGP组产妇进行治疗,然后比较两组产妇的临床疗效、产后的出血量、术后住院的时间及其术后并发症的发生率。结果:UCS组产妇治疗的总有效率高于IGP组产妇,术后其并发症的发生率低于IGP组产妇,P<0.05。治疗后,UCS组产妇产后的出血量少于IGP组产妇,术后其住院的时间短于IGP组产妇,P<0.05。结论:用改良式子宫压迫缝合术对接受剖宫产手术后并发PPH的产妇进行治疗能显著减少其出血量,提高其疗效,缩短其住院的时间,且治疗的安全性较高。

objective:to explore a modified type of uterus oppression suture technique for complicated Postpartum hemorrhage after cesarean section surgery(Postpartum haemorrhage,PPH)in the treatment of maternal effect.Methods:a total of 200 pregnant women with PPH after cesarean section in Xiangzhou District Second People’s Hospital of Zhuhai city from January 2016 to November 2019 were randomly divided into uterine compression suture group(UCS group,n=100)and intrauterine gauze packing group(IGP group,n=100).Modified uterine compression suture and intrauterine gauze packing were used to treat the puerpera in UCS group and IGP group respectively,and then the clinical efficacy,postpartum blood loss,postoperative hospital stay and postoperative complication rate of the two groups of puerpera were compared.Results:The total effective rate of UCS group was higher than IGP group,and the incidence of postoperative complications was lower than IGP group(P<0.05).After treatment,the postpartum hemorrhage in UCS group was less than that in IGP group,and the postoperative hospitalization time was shorter than that in IGP group(P<0.05).Conclusion:Modified uterine compression suture can significantly reduce the amount of bleeding,improve the curative effect,shorten the length of hospital stay,and ensure the safety of the treatment for PPH after cesarean section.