子宫压迫缝合术在剖宫产产后出血中的应用效果

The Effect of Uterine Compression Suturing in the Treatment of Postpartum Hemorrhage After Cesarean Section

目的探究剖宫产产后出血患者接受子宫压迫缝合术的临床价值。方法选取本院2022年8月至2023年8月内剖宫产产后出血患者,样本数量共94例。参考随机数字表法将其划分两组,各47例。对照组采取常规缩宫素止血,观察组采取子宫压迫缝合术。对两组止血临床效果、相关止血指标、子宫血流动力学指标、并发症进行综合评价。结果观察组止血总有效率高于对照组(P<0.05)。观察组手术时间多于对照组(P<0.05);观察组止血时间、产后2 h内、2~24 h出血量、住院时长低于对照组(P<0.05)。两组治疗后收缩期峰值流速(PSV)、舒张末期流速(EDV)均高于治疗前,搏动指数(PI)、阻力指数(RI)均低于治疗前(均P<0.05);且观察组PSV、EDV高于对照组,PI、RI低于对照组(P<0.05)。观察组并发症总发生率低于对照组(P<0.05)。结论剖宫产产后出血患者接受子宫压迫缝合术可起到止血效果,控制产后出血量,缩短产后恢复时间,促进子宫血流动力学指标改善,减少并发症的发生。

Objective To explore the clinical value of uterine compression suture in patients with postpartum hemorrhage after cesarean section.Methods A total of 94 patients with postpartum hemorrhage after cesarean section were selected from August 2022 to August 2023 in our hospital.The patients were divided into two groups with 47 cases each according to random number table method.The control group was treated with routine oxytocin hemostasis,and the observation group was treated with uterine compression suture.The hemostatic clinical effect,related hemostatic indexes,uterine hemodynamic indexes and complications of the two groups were comprehensively evaluated.Results The total effective rate of hemostasis in the observation group was higher than that in the control group(P<0.05).The operation time in the observation group was longer than that in the control group(P<0.05).Hemostasis time,postpartum blood loss within 2 hours,2-24 hours,length of hospitalization in observation group were lower than those in control group(P<0.05).After treatment,the peak systolic flow velocity(PSV)and end-diastolic flow velocity(EDV)were higher than before treatment,and the pulsation index(PI)and resistance index(RI)were lower than before treatment(P<0.05).PSV and EDV in observation group were higher than those in control group,PI and RI were lower than those in control group(all P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusions In patients with postpartum hemorrhage after cesarean section,uterine compression suture can play a significant role in hemostasis,control postpartum bleeding,shorten postpartum recovery time,promote the improvement of uterine hemodynamic indexes,and reduce the occurrence of complications.