子宫压迫缝合术联合子宫动脉上行支结扎术治疗剖宫产术后出血患者的效果

Effect of Uterine Compression Suture Combined with Ascending Branch Ligation of Uterine Artery on Patients with Postoperative Bleeding after Cesarean Section

目的 探究对剖宫产术后出血患者,实施子宫压迫缝合术联合子宫动脉上行支结扎术对患者产生的影响及作用。方法 选取2021年1月-2022年9月本院收治的86例剖宫产术后出血患者作为研究对象,根据奇偶数分组法,将奇数患者列入对照组,将偶数患者纳入观察组,每组各43例。观察止血效果、并发症、术后出血量及生活质量。结果 观察组止血总有效率高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05);观察组术后2h、12h及24h出血量均少于对照组,差异有统计学意义(P<0.05);观察组各项SF-36指标评分均比对照组更高,差异有统计学意义(P<0.05);观察组满意度高于对照组,差异有统计学意义(P<0.05)。结论 采用子宫压迫缝合术联合子宫动脉上行支结扎术治疗,能够有效提高剖宫产术后出血患者止血效果,减少并发症,值得推广。

Objective To investigate effect and role of uterine compression suture combined with ascending branch ligation of uterine artery on patients with postoperative bleeding after cesarean section.Methods The paper chose 86 patients with postoperative bleeding after cesarean section admitted to our hospital from January 2021 to September 2022 as research objects.According to odd even grouping method,odd numbered patients were included in control group and even numbered patients in observation group,with 43 cases in each group.Hemostatic effect,complications,postoperative bleeding volume and life quality was observed between two groups.Results Total effective rate of hemostasis in observation group was higher than control group,with statistically significant difference(P<0.05).Incidence of complications in observation group was lower than control group,difference was statistically significant(P<0.05).Bleeding volume in observation group at 2 hours,12 hours and 24 hours after surgery was lower than control group,difference was statistically significant(P<0.05).Scores of various SF-36 indicators in observation group were higher than control group,difference was statistically significant(P<0.05).Satisfaction degree of observation group was higher than control group,difference was statistically significant(P<0.05).Conclusion Uterine compression suture combined with ascending branch ligation of uterine artery can improve hemostatic effect of patients with bleeding after cesarean section,and reduce complications effectively,which is worthy of promotion.