摘要
目的:分析改良B-Lynch缝合术在产后出血治疗中的应用价值。方法:选取2013年5月-2014年10月间本院收治的34例有发生产后出血危险因素的剖宫产患者,将其随机分为观察组22例和对照组12例,对照组仅采用按摩子宫和药物处理,观察组在此基础上使用改良B-Lynch缝合术,比较两组治疗效果。结果:观察组患者在手术时间、术中术后出血量、输血率、输血量、子宫切除率、产褥发生率方面均明显低于对照组,组间比较差异均有统计学意义(P<0.05)。观察组术前Hb值与术后24 h的Hb差值为(2.43±1.12)g/L,对照组为(3.73±1.42)g/L,两组比较差异有统计学意义(t=4.17,P<0.01)。结论:改良B-Lynch缝合术在剖宫产宫缩乏力性产后出血的治疗中可以明显缩短手术时间,安全性高,疗效显著,值得临床上进一步推广。
Objective：To analysis the effect of B-Lynch suture technique for high risk postpartum hemorrhage. Method：34 patients with risk factors in postpartum hemorrhage of cesarean section in our hospital were selected from January 2013 to December 2013,and randomly divided into two groups,22 cases in observation group and 12 cases in the control group,the control group was treated by the massage of the uterus and drug treatment,the observation group was treated by B-Lynch suture technique for the treatment on the basic of it,the treatment effect of two groups were compared. Result：The operation time,intraoperative blood loss,postoperative blood transfusion rate,blood transfusion amount, uterus resection rate,incidence of puerperal were significantly lower in the observation group than that in control group, the differences between groups had statistical significance（P〈0.05）.Preoperative Hb level minus the postoperative Hb level of 24 h in observation group was（2.43±1.12）g/L,control group was（3.73±1.42）g/L,the differences between groups had statistical significance（t=4.17,P〈0.01）.Conclusion：The improved B-Lynch suture technique in therapy for cesarean section contractions fatigue sex postpartum hemorrhage can obviously shorten the operation time,and is high safety,efficacy significantly,worthy of further clinical application.
出处
《中国医学创新》
CAS
2015年第9期30-32,共3页
Medical Innovation of China
基金
梅州市医药卫生科研课题(2014-B-71)
关键词
剖宫产
宫缩乏力性产后出血
改良B-LYNCH缝合术
Cesarean delivery
Contractions are weak postpartum hemorrhage
Improved B-Lynch suture technique
