子宫B-Lynch缝合术联合限制性补液法治疗剖宫产产后出血的效果分析

Analysis on the Effect of Uterine B-Lynch Suture Combined with Restrictive Rehydration in the Treatment of Postpartum Hemorrhage of Cesarean Section

目的分析子宫B-Lynch缝合术联合限制性补液法治疗剖宫产产后出血的临床效果。方法选取2017年1月至2018年12月期间我院收治的剖宫产产后出血产妇102例,根据治疗方法不同分为对照组和观察组各51例。对照组给予常规治疗+传统补液法+子宫B-Lynch缝合术,观察组给予常规治疗+限制性补液法+子宫B-Lynch缝合术。观察两组患者治疗前及治疗2h后的血流动力学指标,并对比两组的术中出血量、术后出血量及输血量。结果治疗前,两组的平均动脉压、中心静脉压及心率比较无统计学差异(P>0.05);治疗2 h后,两组的平均动脉压、中心静脉压均高于治疗前,心率均低于治疗前,且与对照组相比,观察组的平均动脉压、中心静脉压更高,心率更低(P<0.05)。观察组的术中出血量、术后出血量及输血量均低于对照组(P<0.05)。结论子宫B-Lynch缝合术联合限制性补液法治疗剖宫产产后出血的效果显著,值得临床推广应用。

Objective To analyze the clinical effect of uterine B-Lynch suture combined with restrictive rehydration in the treatment of postpartum hemorrhage of cesarean section.Methods 102 puerperas with postpartum hemorrhage of cesarean section admitted to our hospital from January 2017 to December 2018 were selected and divided into control group and observation group according to different treatment methods,with 51 cases in each group.The control group was given routine treatment+traditional rehydration+uterine B-Lynch suture,and the observation group was given routine treatment+restrictive rehydration+uterine B-Lynch suture.The hemodynamic indicators before treatment and 2 hours after treatment were observed,and the intraoperative blood loss,postoperative blood loss and blood transfusion were compared between the two groups.Results Before treatment,no statistical difference was found in the mean arterial pressure,central venous pressure and heart rate between the two groups(P>0.05).2 hours after treatment,the mean arterial pressure and central venous pressure of the two groups were higher than those before treatment,and the heart rate was lower than that before treatment(P<0.05);Compared with the control group,the mean arterial pressure and central venous pressure of the observation group were higher,and the heart rate was lower(P<0.05).The intraoperative blood loss,postoperative blood loss and blood transfusion of the observation group were lower than those of the control group(P<0.05).Conclusions Uterine B-Lynch suture combined with restrictive rehydration has significant effect in the treatment of postpartum hemorrhage of cesarean section,which is worthy of clinical promotion and application.