子宫背带式缝合术治疗剖宫产产后出血的效果

Effect of the Suture of the Uterine Dorsal Band on Postpartum Hemorrhage after Cesarean Section

目的分析剖宫产产后出血采用子宫背带式缝扎术的临床效果。方法本研究活动展开的时间为2017年3月至2019年3月,选择该时间段剖宫产产后出血患者90例。将所有研究对象通过单复数分组方法分为观察组和对照组,两组数量均等,为45例。对照组患者采用宫腔纱条填塞法展开治疗,观察组患者则通过子宫背带式缝合术治疗。对比两组患者临床治疗效率。结果观察组(43例,占比为95.56%)的治疗总有效率相比对照组(38例,占比为84.44%)明显更高(P<0.05);观察组在产后2、24 h的出血量上和对照组相比明显更少(P<0.05);治疗前,两组患者在焦虑和抑郁情绪方面均没有显著不同,差异无统计学意义(P>0.05),治疗后,观察组的焦虑和抑郁情绪好转效果比对照组更明显(P<0.05);治疗前两组患者在生活质量上的差异不显著,差异无统计学意义(P>0.05),治疗后,观察组患者在生活质量上的改善效果比对照组更理想(P<0.05);观察组(2例,占比为4.44%)患者的并发症发生率相比对照组(11例,占比为24.44%)明显更低(P<0.05)。结论针对剖宫产产后出血的患者通过子宫背带式缝合手术对患者实施治疗相比宫腔填塞纱布而言效果更好,能有效的减少患者的产后出血量,改善患者的负面心理,提高整体生活质量,降低并发症的发生概率。

Objective To analyze the clinical effect of uterine strap suture for postpartum hemorrhage after cesarean section.Methods The research activities were carried out from March 2017 to March 2019,and 90 patients with post-cesarean hemorrhage during this time period were selected.All the research subjects were divided into the observation group and the control group by the method of singular and plural grouping.The patients in the control group were treated by uterine gauze packing method,and the patients in the observation group were treated by uterine strap suture.The clinical treatment efficiency of the two groups of patients was compared and analyzed.Results The total effective rate of treatment in the observation group(43 cases,accounting for 95.56%)was significantly higher than that in the control group(38 cases,accounting for 84.44%),and the difference was statistically significant(P<0.05).Compared with the control group,the bleeding volume at 2 and 24 h postpartum was significantly less,and the difference was statistically significant(P<0.05).There was no significant difference in the auxiety and depression of the two groups before treatment(P>0.05),after treatment,the anxiety and depression of the observation group improved more significantly than the control group,and the statistical data was significantly different(P<0.05);before treatment,the difference in quality of life between the two groups was not significant,there was no significant difference in statistical data(P>0.05).After treatment,the improvement effect of the quality of life in the observation group was more ideal than that in the control group,and the statistical difference was significant(P<0.05);The incidence of complications in the observation group(2 cases,accounting for 4.44%)was compared with the control group(11 cases,accounting for 24.44%)was significantly lower,and there was a statistical difference(P<0.05).Conclusion For patients with postpartum hemorrhage after cesarean section,the treatment of patients with uterine sling suture is more effective than uterine packing gauze,which can effectively reduce the amount of postpartum hemorrhage,improve the negative psychology of patients,and improve the overall Quality of life reduces the risk of complications.