摘要
目的探讨子宫捆绑术治疗宫缩乏力性产后出血的临床效果。方法选取永康市第一人民医院2017年5月至2018年5月收治的宫缩乏力性产后出血患者100例为研究对象,采用随机数字表法分为观察组50例、对照组50例,对照组采用传统缝合术治疗,观察组采用子宫捆绑术治疗。比较两组临床效果。结果观察组总有效率为94.0%(47/50),高于对照组的68.0%(34/50),两组差异有统计学意义(χ^(2)=12.421,P<0.01);观察组患者手术时间为(62.99±10.87)min,对照组为(60.98±8.12)min,差异无统计学意义(t=1.048,P>0.05)。观察组产后2 h出血量、24 h出血量、腹围、宫高分别为(216.85±16.85)mL、(356.19±25.71)mL、(98.56±5.86)cm、(35.17±2.33)cm,均少于或小于对照组的(485.29±28.41)mL、(596.38±34.18)mL、(108.59±2.65)cm、(38.45±4.19)cm,两组差异均有统计学意义(t=85.652、65.325、16.584、3.256,均P<0.05)。观察组并发症发生率为4.0%(2/50),低于对照组的28.0%(14/50)(χ^(2)=12.032,P<0.01)。结论子宫捆绑术治疗宫缩乏力性产后出血的临床效果优于传统缝合术,并发症发生率低。
Objective To investigate the clinical efficacy of uterine compression suture in the treatment of postpartum hemorrhage resulting from uterine atony.Methods 100 patients with postpartum hemorrhage due to uterine atony who received treatment between May 2017 and May 2018 in the First People's Hospital of Yongkang were included in this study.They were randomly assigned to undergo either conventional uterine suture(control group,n=50)or uterine compression suture(observation group,n=50).Clinical efficacy was compared between the observation and control groups.Results Total effective rate in the observation group was significantly higher than that in the control group[94.0%(47/50)vs.68.0%(34/50),χ^(2)=12.421,P<0.01].There was no significant difference in operative time between observation and control groups[(62.99±10.87)minutes vs.(60.98±8.12)minutes,t=1.048,P>0.05].The amount of blood loss within 2 and 24 hours postpartum,abdominal circumference,and uterine height in the observation group were(216.85±16.85)mL,(356.19±25.71)mL,(98.56±5.86)cm and(35.17±2.33)cm respectively,which were significantly less or lower than those in the control group[(485.29±28.41)mL,(596.38±34.18)mL,(108.59±2.65)cm,and(38.45±4.19)cm,t=85.652,65.325,16.584,3.256,all P<0.05].The incidence of complications in the observation group was significantly lower than that in the control group[4.0%(2/50)vs.28.0%(14/50),χ^(2)=12.032,P<0.01].Conclusion Uterine compression suture for the treatment of postpartum hemorrhage resulting from uterine atony has greater clinical efficacy and leads to lower incidence of complications than conventional suture technique.
作者
颜媛
徐秦侃
王笑盈
胡慧慧
Yan Yuan;Xu Qinkan;Wang Xiaoying;Hu Huihui(Department of Obstetrics,the First People's Hospital of Yongkang,Yongkang 321300,Zhejiang Province,China)
出处
《中国基层医药》
CAS
2021年第11期1601-1604,共4页
Chinese Journal of Primary Medicine and Pharmacy
基金
浙江省医药卫生科技计划项目(2016KYB320)。
关键词
产后出血
宫缩乏力
子宫捆绑术
缝合术
子宫
产科外科手术
治疗结果
手术后并发症
Postpartum hemorrhage
Uterine inertia
Uterine binding
Suture
Uterus
Obstetric surgical procedures
Treatment outcome
Postoperative complications
