欣母沛联合子宫背带缝合技术在剖宫产产后出血中的应用效果观察
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摘要
目的:探讨欣母沛联合子宫背带缝合技术在剖宫产产后出血中的应用效果。方法:选取2016年5月-2018年5月于笔者所在医院进行剖宫产后出现产后出血的产妇50例,采用随机方式分为两组,研究组采用欣母沛联合子宫背带缝合技术进行治疗,对照组采用缩宫素联合传统缝合术进行治疗。对比两组临床疗效、各项手术指标及并发症发生情况等方面的差异。结果:治疗后,研究组和对照组的治疗有效率分别为100%和80.00%,研究组治疗有效率显著高于对照组(P<0.05);研究组下床活动时间、手术时间及住院时间均显著短于对照组,术中出血量显著少于对照组(P<0.05);治疗后,研究组和对照组不良反应发生率分别为4.00%和20.00%,研究组不良反应发生率显著低于对照组(P<0.05)。结论:在对剖宫产后出血患者进行治疗的过程中,欣母沛联合子宫背带缝合技术效果显著,可有效缩短手术及住院时间,且具有较高的治疗安全性,具有良好的临床推广价值。
Objective:To investigate the application effect of Hemabate combined with uterine strap suture techniques on postpartum hemorrhage in cesarean section.Method:50 cases of postpartum hemorrhage after cesarean section in our hospital from May 2016 to May 2018 were selected and randomly divided into two groups.The study group used Hemabate combined with uterine strap suture techniques for treatment,and the control group was treated with Oxytocin combined with traditional suture.The differences in clinical efficacy,surgical indexes and adverse reactions between the two groups were studied.Result:The effective rate of treatment in the study group and the control group were 100% and 80.00% respectively,and the effective rate of treatment of the study group was significantly higher than that of the control group(P<0.05).The time to get out of bed,operation time and hospitalization time of the study group were significantly shorter than those of the control group,and the amount of intraoperative hemorrhage were significantly less than those of the control group(P<0.05).The incidence of adverse reactions in the study group and the control group after treatment were 4.00% and 20.00% respectively,and the incidence of adverse reactions of the study group was significantly lower than that of the control group(P<0.05).Conclusion:In the course of treatment of postpartum hemorrhage patients,Hemabate combined with uterine strap suture techniques has a significant effect,which can effectively shorten the operation and hospitalization time,and has a high therapeutic safety,and has good clinical promotion value.
Objective:To investigate the application effect of Hemabate combined with uterine strap suture techniques on postpartum hemorrhage in cesarean section.Method:50 cases of postpartum hemorrhage after cesarean section in our hospital from May 2016 to May 2018 were selected and randomly divided into two groups.The study group used Hemabate combined with uterine strap suture techniques for treatment,and the control group was treated with Oxytocin combined with traditional suture.The differences in clinical efficacy,surgical indexes and adverse reactions between the two groups were studied.Result:The effective rate of treatment in the study group and the control group were 100% and 80.00% respectively,and the effective rate of treatment of the study group was significantly higher than that of the control group(P<0.05).The time to get out of bed,operation time and hospitalization time of the study group were significantly shorter than those of the control group,and the amount of intraoperative hemorrhage were significantly less than those of the control group(P<0.05).The incidence of adverse reactions in the study group and the control group after treatment were 4.00% and 20.00% respectively,and the incidence of adverse reactions of the study group was significantly lower than that of the control group(P<0.05).Conclusion:In the course of treatment of postpartum hemorrhage patients,Hemabate combined with uterine strap suture techniques has a significant effect,which can effectively shorten the operation and hospitalization time,and has a high therapeutic safety,and has good clinical promotion value.
引文
[1]王晓娟,魏雪洋,谢玲娟.欣母沛联合宫腔填纱治疗前置胎盘剖宫产产后出血的疗效[J].中国性科学,2016,25(11):120-122.
[2]陈逗.欣母沛联合米索前列醇预防高危产妇剖宫产后出血的疗效[J].实用临床医药杂志,2016,20(9):160-161.
[3]周敏,李琳.欣母沛预防和治疗剖宫产术后出血的临床观察[J].中国性科学,2016,25(9):121-123.
[4]刘瑞枝.卡前列素氨丁三醇联合米索前列醇在产后出血中的应用效果[J].山西医药杂志,2016,45(20):2420-2422.
[5]陆建平,李天涛.高危剖宫产孕妇给予欣母沛防治产后出血及不良事件的临床效果[J].中国妇幼保健,2016,12(18):3717-3719.
[6]Moleiro M L,Guedesmartins L,Mendes A,et al.Modified pereira suture as an effective option to treat postpartum hemorrhage due to uterine atony[J].Revista Brasileira de Ginecologia e Obstetrícia/RBGO Gynecology and Obstetrics,2018,40(2):92-95.
[7]杨亚莉,马颖,郭永平.欣母沛与米索前列醇片联合治疗顽固性宫缩乏力产后出血的临床观察[J].陕西医学杂志,2017,46(4):527-528.
[8]刘桂英.欣母沛对宫缩乏力性产后出血的预防作用观察[J].海南医学院学报,2016,22(19):2315-2317.
[9]Indiran V,Kannan K,Maduraimuthu P.CT and MR imaging of uterine necrosis following B-Lynch and Hayman suturing for postpartum hemorrhage[J].Indian Journal of Medical Specialities,2016,7(3):125-126.
[10]彭敏,孙国强,李敏,等.安列克与欣母沛治疗与预防产后出血的疗效比较[J].中国妇幼保健,2016,31(20):4128-4130.
[11]吴美玉.子宫背带缝合术联合欣母沛治疗子宫收缩乏力性产后出血[J].医学新知,2017,27(5):525-526.
[12]罗翠娟.欣母沛联合子宫背带式缝合治疗宫缩乏力性产后出血50例临床分析[J].中国现代药物应用,2016,10(7):146-147.
[13]Elsokkary M,Wahba A K,Elshahawy Y.Uterine salvage management for atonic postpartum hemorrhage using“modified lynch suture”[J].Bmc Pregnancy&Childbirth,2016,16(1):251.
[2]陈逗.欣母沛联合米索前列醇预防高危产妇剖宫产后出血的疗效[J].实用临床医药杂志,2016,20(9):160-161.
[3]周敏,李琳.欣母沛预防和治疗剖宫产术后出血的临床观察[J].中国性科学,2016,25(9):121-123.
[4]刘瑞枝.卡前列素氨丁三醇联合米索前列醇在产后出血中的应用效果[J].山西医药杂志,2016,45(20):2420-2422.
[5]陆建平,李天涛.高危剖宫产孕妇给予欣母沛防治产后出血及不良事件的临床效果[J].中国妇幼保健,2016,12(18):3717-3719.
[6]Moleiro M L,Guedesmartins L,Mendes A,et al.Modified pereira suture as an effective option to treat postpartum hemorrhage due to uterine atony[J].Revista Brasileira de Ginecologia e Obstetrícia/RBGO Gynecology and Obstetrics,2018,40(2):92-95.
[7]杨亚莉,马颖,郭永平.欣母沛与米索前列醇片联合治疗顽固性宫缩乏力产后出血的临床观察[J].陕西医学杂志,2017,46(4):527-528.
[8]刘桂英.欣母沛对宫缩乏力性产后出血的预防作用观察[J].海南医学院学报,2016,22(19):2315-2317.
[9]Indiran V,Kannan K,Maduraimuthu P.CT and MR imaging of uterine necrosis following B-Lynch and Hayman suturing for postpartum hemorrhage[J].Indian Journal of Medical Specialities,2016,7(3):125-126.
[10]彭敏,孙国强,李敏,等.安列克与欣母沛治疗与预防产后出血的疗效比较[J].中国妇幼保健,2016,31(20):4128-4130.
[11]吴美玉.子宫背带缝合术联合欣母沛治疗子宫收缩乏力性产后出血[J].医学新知,2017,27(5):525-526.
[12]罗翠娟.欣母沛联合子宫背带式缝合治疗宫缩乏力性产后出血50例临床分析[J].中国现代药物应用,2016,10(7):146-147.
[13]Elsokkary M,Wahba A K,Elshahawy Y.Uterine salvage management for atonic postpartum hemorrhage using“modified lynch suture”[J].Bmc Pregnancy&Childbirth,2016,16(1):251.