剖宫产宫缩乏力性产后出血应用子宫背带式缝合术联合欣母沛治疗的临床效果研究

杨芳1 ，李红2

（1.陕西省乾县中医医院妇产科，陕西 咸阳，713300；2.咸阳彩虹医院产科，陕西 咸阳，712021）

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摘要：

目的 探讨剖宫产宫缩乏力性产后出血应用子宫背带式缝合术联合欣母沛治疗的效果。方法 回顾性分析我院收治的剖宫产宫缩乏力性产后出血患者135例的临床资料，依据治疗方式不同分为两组，观察组65例进行子宫背带式缝合术联合欣母沛治疗，对照组70例进行常规治疗。观察比较两组患者围手术期情况及治疗效果。结果 观察组患者手术时间为（58.3±10.2）min、术中出血量为（762.8±101.3）mL 及术中输血量为（560.4±70.6）mL，分别低于对照组的（88.3±12.4）min、（1 429.7±188.5 ）mL 及 （933.6±79.2）mL（P<0.05）。观察组患者治疗有效率为100.00%，显著高于对照组的88.57%（P<0.05）。结论 剖宫产宫缩乏力性
产后出血应用子宫背带式缝合术联合欣母沛具有良好的临床疗效，值得临床推广应用。

关键词：剖宫产；产后出血；子宫背带式缝合术

中图分类号：R714.4文献标志码：A文章编号：2096-1413(2017)08-0095-02

Clinical effect of uterine parceled suture combined with hemabate in treatment of postpartum hemorrhage caused by uterine inertia
YANG Fang 1, LI Hong 2
(1. Department of Gynecology and Obstetrics, Traditional Chinese Medicine Hospital of Qian County, Xianyang 713300;
2. Department of Obstetrics, Xianyang Caihong Hospital, Xianyang 712021, China)

ABSTRACT: Objective To explore the clinical effect of uterine parceled suture combined with hemabate in treatment of postpartum hemorrhage caused by uterine inertia. Methods The data of 135 cases of patients with postpartum hemorrhage caused by uterine inertia accepted in our hospital were retrospectively analyzed, and the patients were divided into two groups according to different treatment methods. Sixty-five patients in the observation group were given uterine parceled suture combined with hemabate, and 70 patients in the control group were given normal treatment, then the perioperative indexes and clinical effect of the two groups were compared. Results The operation time was (58.3±10.2) min, blood loss was (762.8±101.3) mL and blood transfusion was (560.4±70.6) mL of the observation group, which were significantly less than (88.3±12.4) min, (1 429.7±188.5) mL and (933.6±79.2) mL of the control group (P<0.05)；the clinical efficacy rate of the observation group was 100.00% , which was obviously higher than 88.57% of the control group (P<0.05). Conclusion Uterine parceled suture combined with hemabate has good efficacy in the treatment of postpartum hemorrhage caused by uterine inertia after cesarean, which is worthy of clinical application.
KEYWORDS: cesarean; postpartum hemorrhage; uterine parceled suture

参考文献：
[1] 刘伟武,罗宇迪,徐秀英,等.子宫压迫缝合术治疗产后出血的临床进展[J].中外医学研究,2016,14(1):156-158.
[2] 卜美玲.产后子宫按摩对产妇泌乳及预防产后出血的效果[J].世界最新医学信息文摘:连续型电子期刊,2016,16(54):113-114.
[3] 梁媛,刘洁玲,詹晓兰.小剂量缩宫素联合前列腺素类药物对高危产妇剖宫产产后出血的影响[J].浙江临床医学,2016,18(4):700-701.
[4] 杜艳华.卡前列素氨丁三醇预防剖宫产宫缩乏力性产后出血的临床效果探讨[J].中国现代医生,2014,52(13):154-156.
[5] 单艳丽.卡前列素氨丁三醇注射液预防高危剖宫产产后出血的临床观察[J].中国实用医刊,2016,43(7):90-91.
[6] 田丽,陈钊.三联法治疗难治性宫缩乏力性产后出血的临床疗效观察[J].中国实用医刊,2016,43(6):56-57.
[7] 张清云.宫腔填塞纱布条治疗43例剖宫产术中出血患者的临床观察[J].右江医学,2013,41(2):229-231.
[8] 华秋琴.子宫背带式缝合术治疗剖宫产产后出血的疗效评价[J].浙江创伤外科,2016,21(3):560-561.
[9] 杨娉,游一平.多样式子宫背带式缝合术在剖宫产术大出血时临床应用价值的探讨[J].中国妇幼保健,2016,31(6):1314-1316.
[10] 赵富清,刘清秀,罗利平.子宫缝合术联合卡前列素氨丁三醇对子宫收缩乏力性产后出血的疗效观察[J].中国医药导刊,2016,18(2):173-174.