宫缩剂联合B-Lynch缝合术预防剖宫产产后出血的临床价值

张亚凤员，刘佩璇2，王燕3，孙秋桥1

（1. 陕西省咸阳彩虹医院，陕西 咸阳，712000；2.陕西省兴平市人民医院，陕西 兴平，713100； 3.中国电力科学研究院门诊部，北京，100192）

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摘要：

目的 观察宫缩剂联合B-Lynch 缝合术预防剖宫产后出血的临床价值。方法 按照随机数字表法将92 例剖宫产产妇分为观察组与对照组，各46 例。观察组采取宫缩剂联合B-Lynch 缝合术预防产后出血，对照组仅用宫缩剂预防产后出血。比较两组产妇出血情况、子宫切除率、住院时间、并发症情况。结果 观察组产妇术中出血量、术后24 h 出血量、产后出血率、并发 症发生率均低于对照组（P<0.05）；两组患者的子宫切除率和住院时间比较，差异不显著（P>0.05）。结论 宫缩剂联合B-Lynch缝合术可有效预防剖宫产产后出血，降低产后出血率，避免子宫切除，减少术后并发症。

关键词：剖宫产；宫缩剂；B-Lynch 缝合术；产后出血

中图分类号：R719.8 文献标志码：A文章编号：2096-1413(2017)19-0067-02

Clinical value of uterine contraction combined with B-Lynch suture in the prevention of postpartum hemorrhage of cesarean section
ZHANG Ya-feng 1, LIU Pei-xuan 2, WANG Yan 3, SUN Qiu-qiao 1
(1. the Rainbow Hospital of Xianyang, Xianyang 712000; 2. Xingping People``s Hospital, Xingping 713100; 3. Out-patient Department of China Electronic Power Reserch Institute, Beijing 100192, China)

ABSTRACT: Objective To observe the clinical value of uterine contraction combined with B-Lynch suture in the prevention of postpartum hemorrhage of cesarean section. Methods Ninety-two cases of cesarean section were selected and divided into observation group and control group according to the random number table, with 46 cases in each group. The observation group used uterine contraction combined with B-Lynch suture to prevent postpartum hemorrhage, and the control group only used uterine contraction to prevent postoperative bleeding. The bleeding situation, hysterectomy rate, hospitalization time and complications were compared between the two groups. Results The intraoperative blood loss, total bleeding loss within 24 h after surgery, postpartum hemorrhage rate and overall incidence of complications in the observation group were lower than those in the control group (P<0.05). There were no significant differences in hysterectomy rate and length of hospitalization time between the two groups (P>0.05). Conclusion Uterine contraction combined with B-Lynch suture can effectively prevent postpartum hemorrhage, reduce postpartum hemorrhage, avoid hysterectomy, and reduce postoperative complications.

KEYWORDS: cesarean section; uterine contraction; B-Lynch suture; postpartum hemorrhage

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