摘要
目的:探讨用改良的B-lynch缝合术对接受剖宫产手术后发生难治性产后出血的产妇进行治疗的临床效果。方法:选取2017年1月至2018年1月期间在临汾龙凤妇产医院接受剖宫产手术后发生难治性产后出血的120例产妇为研究对象。采用随机数表法将其分为研究组和对照组,每组各60例产妇。采用向宫腔内填塞纱布的方法对对照组产妇进行治疗,采用改良的B-lynch缝合术对研究组产妇进行治疗。治疗结束后,对比两组产妇治疗的效果、术中的出血量、术后48 h内的出血量、输血量及术后血红蛋白降低的幅度。结果:与对照组产妇相比,研究组产妇治疗的总有效率较高,其术中的出血量、术后48 h内的出血量及输血量均较少,术后其血红蛋白降低的幅度较小,P<0.05。结论:用改良的B-lynch缝合术对接受剖宫产手术后发生难治性产后出血的产妇进行治疗可显著提高其治疗的效果,减少其产后的出血量。
Objective:To investigate the clinical effect of modified B-Lynch suture in the treatment of refractory postpartum hemorrhage after cesarean section.Methods:120 women with refractory postpartum hemorrhage after cesarean section in Linfen Longfeng Maternity Hospital from January 2017 to January 2018 were selected as study subjects.The women were divided into study group and control group by random number table method,60 women in each group.Pregnant women in the control group were treated by intrauterine gauze packing,and pregnant women in the study group were treated by modified B-Lynch suture.After the treatment,the therapeutic effect,intraoperative blood loss,postoperative 48 h blood loss,blood transfusion,and postoperative hemoglobin reduction were compared between the two groups.Results:Compared with the control group,the total effective rate of the treatment in the study group was higher,the amount of intraoperative blood loss,the amount of blood loss within 48 h after the operation and the amount of blood transfusion were less,and the decrease of hemoglobin was smaller after the operation(P<0.05).Conclusion:Modified B-Lynch suturing for the treatment of refractory postpartum hemorrhage after cesarean section can significantly improve the therapeutic effect and reduce the postpartum hemorrhage.
作者
刘小丽
Liu xiaoli(Linfen Longfeng Maternity Hospital,Linfen shanxi 041000)
