摘要
目的分析改良B-Lynch缝合术预防剖宫产后宫缩乏力性产后出血的应用效果。方法选择2019年1月—2020年5月在广东省佛山市南海区妇幼保健院产科收治的130例产后出血患者作为研究对象,按照入院先后顺序分为研究组和参照组,每组65例,参照组接受传统B-Lynch缝合术,研究组接受改良B-Lynch缝合术,对比两组的住院时间、手术时间、术中出血量、并发症发生率及临床疗效。结果研究组患者的住院时间(4.71±1.42)d明显短于参照组患者的住院时间(7.38±1.28)d,差异有统计学意义(t=11.25,P<0.001);研究组患者术中出血量(812.73±49.58)mL明显少于参照组术中出血量(962.75±45.94)mL,差异有统计学意义(t=17.89,P<0.001);研究组手术时间(31.19±4.28)min明显短于参照组的手术时间(41.83±7.21)min,差异有统计学意义(t=10.23,P<0.05)。研究组患者并发症率为4.62%,参照组患者并发症率为15.38%,比较差异有统计学意义(χ^(2)=4.18,P<0.05)。研究组临床总有效率明显高于参照组,差异有统计学意义(P<0.05)。结论采用改良B-Lynch缝合术在剖宫产中预防宫缩乏力性产后出血,能够有效缩短手术时间与住院时间,降低术中出血量和并发症发生率,在医学上具有临床推广价值。
Objective To analyze the application effect of modified B-Lynch suture to prevent postpartum hemorrhage caused by uterine contraction after cesarean section.Methods From January 2019 to May 2020,130 patients with postpartum hemorrhage admitted to the obstetrics department of Nanhai District Maternity and Child Health Hospital of Foshan City,Guangdong Province were selected as the research objects.They were divided into study group and reference group according to the order of admission,with 65 cases in each group The reference group received traditional B-Lynch suture,and the study group received modified B-Lynch suture.The hospital stay,operation time,intraoperative blood loss,complication rate and clinical efficacy of the two groups were compared.Results The hospital stay of patients in the study group(4.71±1.42)d was significantly shorter than that of patients in the reference group(7.38±1.28)d,and the difference was statistically significant(t=11.25,P<0.001);the amount of intraoperative blood loss in the study group(812.73±49.58)mL was significantly less than the intraoperative blood loss of the reference group(962.75±45.94)mL,the difference was statistically significant(t=17.89,P<0.001);the operation time of the study group(31.19±4.28)min was significantly shorter than the operation time of the reference group was(41.83±7.21)min,and the difference was statistically significant(t=10.23,P<0.05).The complication rate of patients in the study group was 4.62%,and the complication rate of patients in the reference group was 15.38%.The difference was statistically significant(χ^(2)=4.18,P<0.05).The total clinical effective rate of the study group was significantly higher than that of the reference group,and the difference was statistically significant(P<0.05).Conclusion The use of modified B-Lynch suture to prevent postpartum hemorrhage caused by uterine contraction during cesarean section can effectively shorten the operation time and hospital stay,reduce intraoperative blood loss and complication rate,and has clinical promotion value in medicine.
作者
陈华丰
CHEN Huafeng(Department of Obstetrics,Nanhai District Maternal and Child Health Hospital,Foshan City,Foshan,Guangdong Province,528000 China;Department of Obstetrics,Nanhai District Critical Maternal Care Center,Foshan City,Foshan,Guangdong Province,528000 China;Department of Obstetrics,Nanhai Obstetrics and Gynecology Hospital,Guangzhou University of Chinese Medicine,Foshan,Guangdong Province,528000 China)
出处
《中外医疗》
2021年第16期95-97,共3页
China & Foreign Medical Treatment
