欣母沛联合B-Lynch 缝合术在宫缩乏力性产后出血治疗中的作用分析

冯红梅，郭建平

（扶风县妇幼保健院，陕西 宝鸡，722200）

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摘要：

目的 对欣母沛联合B-Lynch 缝合术在宫缩乏力性产后出血治疗中的作用进行分析。方法 选取我院2010年2月至 2017年3月收治的50例宫缩乏力性产后出血作为本次研究对象，其中予以B-Lynch 缝合术的患者作为对照组（25 例），予 以欣母沛联合B-Lynch 缝合术的患者作为观察组（25例），观察两组患者的术中出血量、手术时间、临床疗效、子宫切除率及 不良反应发生情况。结果 观察组患者的术中出血量低于对照组，手术时间短于对照组（P<0.05）。观察组患者的治疗总有效率 稍高于对照组，但差异没有统计学意义（P>0.05）；观察组患者的子宫切除率低于对照组（P<0.05）。观察组患者不良反应总发 生率为16.00%，与对照组的28.00%比较，差异无统计学意义（P>0.05）。结论 给予宫缩乏力性产后出血患者欣母沛联合B-Lynch缝合术治疗，可在不切除患者子宫的前提下减少其术中出血量，并缩短手术时间，提高临床疗效，效果显著，值得在临 床中推广实施。

关键词：B-Lynch 缝合术；术中出血量；欣母沛

中图分类号：R714.46文献标志码：A文章编号：2096-1413(2017)32-0140-02

Effect analysis of hemabate combined with B-Lynch suture technique in the treatment of postpartum hemorrhage caused by uterine inertia
FENG Hong-mei, GUO Jian-ping
(Maternity and Child Health Care Hospital of Fufeng County, Baoji 722200, China)

ABSTRACT: Objective To analyze and the effect of hemabate combined with B-Lynch suture technique in the treatment of postpartum hemorrhage caused by uterine inertia. Methods Fifty cases of patients with postpartum hemorrhage caused by uterine inertia from February 2010 to March 2017 in our hospital were selected as the study objects. Patients with B-Lynch suture were regarded as the control group (n=25), and patients underwent hemabate combined with B-Lynch suture were selected as the observation group (n =25). The intraoperative blood loss, operation time, clinical curative effect, hysterectomy rate and adverse reaction were observed in the two groups. Results The intraoperative blood loss of the observation group was lower than that of the control group, and the operation time was shorter than that of the control group (P<0.05). The total effective rate in the observation group was slightly higher than that of the control group, but the difference was not significant (P>0.05); the hysterectomy rate of the observation group was lower than that of the control group (P<0.05). The overall incidence of adverse reactions was 16.00% in the observation group and 28.00% in the control group, the difference was not statistically significant (P>0.05). Conclusion Hemabate combined with B-Lynch suture technique in the treatment of postpartum hemorrhage caused by uterine inertia can reduce the blood loss, shorten the operation time and improve the clinical curative effect without hysterectomy, the effect is obvious, which is worthy of application in clinic.
KEYWORDS: B-Lynch suture; intraoperative blood loss; hemabate

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