改良Hayman缝合法与荷包式缝合法在宫缩乏力性产后出血患者中的应用对比

Comparison of the Application of Improved Hayman Suture Method and Pouch Suture Method in Patients with Uterine Atony Postpartum Hemorrhage

目的比较改良Hayman缝合法与荷包式缝合法在宫缩乏力性产后出血患者中的应用效果。方法采用回顾性研究,选择2020年6月至2022年6月漯河市召陵区人民医院收治的80例宫缩乏力性产后出血患者的病历资料,根据手术方式分组,将采用荷包式缝合法的38例患者资料纳入对照组,将采用改良Hayman缝合法的42例患者资料纳入观察组。比较两组手术疗效、围手术期指标、不同时点血红蛋白水平以及术后并发症情况。结果观察组总有效率(97.62%)高于对照组(81.58%),差异有统计学意义(P<0.05)。观察组手术时间、术中出血量、术后2 h出血量、术后24 h出血量均少于对照组,差异有统计学意义(P<0.05);两组术后住院时间、恶露持续时间、月经复潮时间比较,差异无统计学意义(P>0.05)。术前两组患者血红蛋白水平比较,差异无统计学意义(P>0.05);术后2、24 h,两组患者血红蛋白水平比较,差异有统计学意义(P<0.05);组内各时点血红蛋白水平比较,差异有统计学意义(P<0.05)。观察组并发症发生率(4.76%)与对照组并发症发生率(15.79%)差异无统计学意义(P>0.05)。结论与荷包式缝合法相比,改良Hayman缝合法止血效果更好,可以减少宫缩乏力性产后出血患者手术时间及出血量。

Objective To compare the application effects of improved Hayman suture method and pouch suture method in patients with uterine atony postpartum hemorrhage.Methods A retrospective study was conducted to select the medical records of 80 patients with uterine atony postpartum hemorrhage from June 2020 to June 2022 at Shaoling District People’s Hospital of Luohe.According to different surgical methods,38 patients who used the pouch suture method were included in the control group,and 42 patients who used the improved Hayman suture method were included in the observation group.The surgical efficacy,perioperative indicators,hemoglobin levels at different time points,and postoperative complications were compared between the two groups.Results The total effective rate of the observation group(97.62%)was higher than that of the control group(81.58%),with a statistical significant difference(P<0.05).The observation group had lower surgical time,intraoperative bleeding,postoperative bleeding at 2,24 hours compared to the control group,with statistical significant differences(P<0.05).There was no statistical significant difference between the two groups in terms of postoperative hospitalization time,duration of lochia,and time of menstrual recovery(P>0.05).There was no statistical significant difference in hemoglobin levels between the two groups of patients before surgery(P>0.05).There was a statistical significant difference in hemoglobin levels between the two groups of patients at 2 hours and 24 hours after surgery(P<0.05).There was a statistical significant difference in hemoglobin levels at different time points within the group(P<0.05).There was no statistical significant difference in the incidence of complications between the observation group(4.76%)and the control group(15.79%)(P>0.05).Conclusion Compared with the pouch suture method,the improved Hayman suture method has a better hemostatic effect and can reduce the surgical time and bleeding volume in patients with uterine atony postpartum hemorrhage.