子宫背带式缝合术治疗剖宫产产后出血的效果评价

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【摘要】目的：研究剖宫产产后出血患者行子宫背带式缝合术治疗的效果。方法：我院收治的70例剖宫产产后出血患者，用“双盲法”分为纱布组（35例，传统纱布填塞）与背带组（35例，子宫背带式缝合术），两组疗效比较分析。结果：术前，比较两组凝血功能与卵巢血流动力学无差异（P>0.05）；术后，相较于纱布组，背带组APTT、PT、TT及FIB指标波动幅度更小，PSV、EDV指标更高，PI、RI指标更低，产后2h出血量、产后24h出血量更少，产后下床活动时间、月经恢复时间及住院时间更短（P

【关键词】子宫背带式缝合术；剖宫产；产后出血；凝血功能；卵巢血流动力学

Effect evaluation of uterine strap suture in the treatment of postpartum hemorrhage after cesarean section

XU Yonglian

Sichuan Ebian Yi Autonomous County People’s Hospital， Leshan， Sichuan 614300， China

【Abstract】Objective：To study the effect of uterine sling suture in the treatment of postpartum hemorrhage after cesarean section. Methods：70 cases of postpartum hemorrhage after cesarean section in our hospital were divided into two groups by“double blind”method： The gauze group （n=35，traditional gauze packing）and the sling group（n=35，uterinestrap suture），comparison and analysis of the curative effects between the two groups.Results：There was no difference in coagulation function and ovarian hemodynamics between the two groups before operation（P>0.05）；Compared with the gauze group，the fluctuation range of APTT，PT，TT and FIB indicators in the sling group was smaller after operation，the PSV and EDV indexes were higher，while PI and RI indexes were lower，the amount of postpartum blood loss at 2h and 24h was less，and the time of getting out of bed after delivery，menstruation recovery and hospitalization were shorter（P

【Key Words】Uterine strap suture； Cesarean section； Postpartum hemorrhage； Coagulation function； Ovarian hemodynamics

产后出血是常见妇产科并发症，是引起产妇死亡的常见原因，是指：娩出胎儿24h内，阴道出血量≥500mL，据统计，其在剖宫产人群中的发生率为2%～11%，分析病因无明确定论，常见因素有：软产道裂伤、子宫收缩乏力等，若未及时处理则危及生命，故以改善凝血功能、减少出血量为目标，早期给予对症治疗尤为重要。（剩余3139字）