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中国初级卫生保健:2020,34(2):39-35
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欣母沛子宫肌层注射、短暂阻断子宫血流联合低位B-Lynch缝合术在减少前置胎盘剖宫产出血中的应用
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中文摘要: 目的 探讨分析欣母沛子宫肌层注射、短暂阻断子宫血流联合低位B-Lynch缝合术在减少前置胎盘剖宫产出血中的应用效果。方法 选取于2016年1月—2018年3月武都区第一人民医院妇产科就诊的前置胎盘剖宫产术后产后出血患者64例,根据随机数表法,将所有患者分为观察组和对照组,各32例。对照组患者接受传统综合治疗,使用缩宫素,同时进行胎盘部位缝合止血;观察组患者在胎儿娩出后,进行欣母沛子宫肌层注射,同时进行低位B-Lynch缝合术,对比分析两组患者的临床疗效。结果 观察组患者的术后出血量、术后2 h出血量明显少于对照组患者(P<0.05)。观察组患者的平均手术时间明显短于对照组患者(P<0.001)。观察组患者输血例数明显少于对照组(P<0.05)。观察组患者住院时间、住院费用明显低于对照组患者(P<0.01)。两组患者晚期术后出血病例和月经恢复情况比较,差异无统计学意义(P>0.05)。两组患者均无术后感染发生,无产妇死亡。结论 欣母沛子宫肌层注射、短暂阻断子宫血流联合低位B-Lynch缝合术能够有效减少前置胎盘剖宫产患者的出血,能够起到良好的临床效果,有效降低手术时间和改善临床预后。
Abstract:OBJECTIVE To investigate the application of hemabate uterine muscle injection, short- term blocking uterine blood flow combine with low B-Lynch suture in the treatment of placenta previa cesarean section hemorrhage. METHODS Selected 64 cases patients with postpartum hemorrhage after cesarean section with placenta previa treated in our hospital Obstetrics and Gynecology Department fromJanuary 2016 to March 2017, according to the random number table method, all patients were divided into observation group and control group, 32 cases in each group. The control group received conventional treatment, using oxytocin, at the same time placental hemostasis; after delivery of fetusthe patients in the observation group received hemabate uterine muscle injection, while low B-Lynch suture, compared the clinical efficacy of the two groups. RESULTS Patients in the observation group, the amount of postoperative bleeding, postoperative 2H bleeding was significantly less than those of the control group (P< 0.05). The average operation time of the observation group was significantly shorter than that of the control group (P< 0.001). Number of cases of blood transfusion were significantly lower than those of the control group (P<0.05). The hospitalization time and hospitalization cost of the observation group were significantly lower than those of the control group (P< 0.01). There was no significant difference between the two groups of patients with postoperative bleeding and the recovery of menstruation (,P> 0.05). Two groups of patients with no postoperative infection, no maternal death. CONCLUSION Hemabate uterine muscle injection, temporarily blocking blood flow to the uterus combined with low B-Lynch suture can effectively reduce bleeding of placenta previa cesarean section patients, can play a good clinical effect, effectively reduce the operation time and improve clinical prognosis.
文章编号:3202001011     中图分类号:R1-9    文献标志码:
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