探讨B-Lynch缝合术治疗剖宫产产后出血的临床疗效及术后出血量的变化

发布时间：2018-01-24 08:26

本文关键词： B-Lynch缝合术剖宫产产后出血治疗效果　出处：《中国妇幼保健》2016年24期 　论文类型：期刊论文

【摘要】：目的探讨B-Lynch缝合术治疗剖宫产产后出血的临床疗效及术后出血量的变化。方法回顾分析2014年9月-2016年8月医院收治的剖宫产产后出血患者96例,按照患者产后出血处理方式将其分为观察组和对照组,每组各48例,观察组患者实施B-Lynch缝合术治疗,对照组患者按照常规血窦缝合法加用宫腔纱布填塞止血;对比两组患者的临床疗效,并采取容积法评估患者术后出血量改善情况。结果观察组患者在行产后止血治疗24 h内出血量、止血操作耗时、恶露干净时间以及月经来潮时间均明显低于对照组,差异有统计学意义(P0.01);术后Hb指标明显高于对照组,术后恢复期输血例数与感染、产褥等并发症率均明显低于对照组,差异均有统计学意义(P0.01)。结论 B-Lynch缝合术治疗剖宫产产后出血疗效确切,可在短时间内控制产妇出血量,改善宫腔肌层收缩力,促进止血效果提升,降低术后并发症风险,保证患者预后恢复质量,值得推广应用。
[Abstract]:Objective to investigate the clinical effect of B-Lynch suture in the treatment of postpartum hemorrhage by cesarean section and the changes of postpartum hemorrhage after operation. Methods retrospective analysis of postpartum cesarean section from September 2014 to August 2016 was conducted in our hospital. 96 patients with blood. According to the treatment of postpartum hemorrhage patients were divided into observation group and control group with 48 cases in each group. The patients in the observation group were treated with B-Lynch suture. The patients in the control group were treated with routine sinus suture plus uterine gauze to stop bleeding. Compare the clinical efficacy of the two groups and use volume method to evaluate the improvement of postoperative bleeding. Results the patients in the observation group were treated with postpartum hemostasis within 24 hours and the hemostatic operation was time-consuming. The clean time of lochia and menstrual onset time were significantly lower than that of the control group, the difference was statistically significant (P 0.01). Postoperative HB index was significantly higher than the control group, postoperative recovery period blood transfusion and infection, puerperal complications rate were significantly lower than the control group. Conclusion B-Lynch suture is effective in the treatment of postpartum hemorrhage of cesarean section, which can control the amount of maternal blood loss and improve the contractility of myometrium of uterine cavity in a short time. To promote hemostatic effect, reduce the risk of postoperative complications and ensure the quality of prognosis recovery, it is worth popularizing.
【作者单位】：沭阳县中医院;淮安市妇幼保健院妇产科;
【分类号】：R719.8
【正文快照】： 产后出血作为当前临床产科分娩期内较为常见的危急并发症之一,其主要是指胎儿在完成分娩24 h之内发生血量持续流出总和超过500 ml以上[1];这类并发症多集中发生在产妇结束分娩2 h之内,同时也是当前临床产科产妇致死高危因素。曾有学者通过大量病例研究证实,胎盘、产道损伤、宫

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