欣母沛联合改良式B-Lynch缝扎术在治疗剖宫产术中宫缩乏力性出血的临床研究

发布时间：2018-04-24 04:05

本文选题：改良式B-Lynch缝合术 + 欣母沛　；参考：《实用妇科内分泌杂志(电子版)》2016年10期

【摘要】：目的探讨在剖宫产术中应用欣母沛联合改良式B-Lynch缝扎术在治疗宫缩乏力性出血的临床效果。方法选择2012年06月-2015年06月在我院住院行剖宫产术,术中发生宫缩乏力性出血的产妇60例,随机分为观察组(欣母沛组)和对照组(米索前列醇组)各30例,对照组应用常规治疗方法,即宫体及静脉使用缩宫素,温热盐水纱布湿敷宫体部及按摩子宫,子宫体部行8字缝合及舌下含化、肛塞米索前列醇等常规方法,观察组则在常规方法治疗的基础上,使用改良式B-Lynch缝扎术联合欣母沛进行治疗,评价两组产妇的效果,即手术时间、术中产妇状况及术中、术后2小时、24小时出血量、输血量、手术成功率、产褥病率、住院天数、子宫复旧情况、药物的不良反应、有无晚期产后出血、产褥期随访。结果观察组手术时间、出血量、输血量、产褥病率、住院天数、药物的不良反应明显少于对照组,手术成功率100%,无一例子宫切除,子宫复旧好,无晚期产后出血,产褥期随访均恢复良好,与对照组相比,差异具有统计学意义(P0.05)。结论改良式B-Lynch缝扎术联合欣母沛在治疗剖宫产术中宫缩乏力性出血,具有显著的效果,不仅减少了出血量,而且保留了子宫,提高了产妇的生活质量,值得推广应用。
[Abstract]:Objective to investigate the clinical effect of combined modified B-Lynch suture during cesarean section in the treatment of uterine atony hemorrhage. Methods from June 2012 to June 2015, 60 pregnant women who underwent cesarean section in our hospital were randomly divided into observation group (Xinmu Pei group) and control group (misoprostol group). The control group was treated with conventional methods, namely, uterine body and vein were treated with oxytocin, warm saline gauze was used to wet compress uterine body and massage uterus, uterus body was sutured with 8 characters and sublingual inclusion, anal amethoprostol was used, and so on. On the basis of routine treatment, the observation group was treated with modified B-Lynch suture combined with Xinmu Pei to evaluate the effect of the two groups, namely, the time of operation, the condition of parturient during operation, the amount of blood loss and blood transfusion in 2 hours and 24 hours after operation. Surgical success rate, puerperal disease rate, hospital stay, uterine recovery, adverse drug reactions, late postpartum hemorrhage, postpartum follow-up. Results the operation time, blood loss, blood transfusion, puerperal disease rate, hospitalization days and adverse drug reactions in the observation group were significantly less than those in the control group. The successful rate of operation was 100. There was no hysterectomy, no recovery of uterus, no late postpartum hemorrhage. The puerperium follow-up recovered well, compared with the control group, the difference was statistically significant (P 0.05). Conclusion the modified B-Lynch suture combined with Xinmupai is effective in the treatment of uterine atony hemorrhage during cesarean section. It not only reduces the amount of bleeding, but also preserves the uterus, improves the quality of life of the parturient, and is worth popularizing.
【作者单位】：南京鼓楼医院集团宿迁市人民医院妇产科;
【分类号】：R714.461;R719.8

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