B-Lynch缝合术治疗剖宫产产后出血的效果评估及患者术后性生活质量评价
|
摘要
目的分析探讨B-Lynch缝合术治疗剖宫产产后出血的效果评估及患者术后性生活质量评价。方法选取2015年1月至2016年11月西安医学院第二附属医院诊治的剖宫产产后出血患者180例作为研究对象。患者出血量在500ml～2500ml之间,按数字法随机分为对照组(n=90)和研究组(n=90),对照组采用常规的治疗方法对患者剖宫产产后出血进行治疗,研究组采用B-Lynch缝合术对患者剖宫产产后出血进行治疗,治疗后对两组患者的治疗效果进行评估以及对患者术后性生活质量进行评价,做好记录。结果治疗后,研究组患者的疗效率显著的高于对照组患者的疗效率,差异具有统计学意义(P<0.05),治疗前两组患者的性功能评分无明显区别,差异无统计学意义(P>0.05),治疗后研究组患者各项指标均显著高于对照组,差异具有统计学意义(P<0.05),研究组患者的手术时间高于对照组同时出血量、下床活动时间以及住院时间低于对照组,差异具有统计学意义(P<0.05)。结论经过本文研究,B-Lynch缝合术治疗剖宫产产后出血的疗效更佳,止血效果好而且能够保留子宫,提高患者的性生活质量,值得在临床上进一步推广和应用。
Objective To evaluate the effect of B-Lynch suture in treating cesarean section postpartum hemorrhage and evaluate the quality of postoperative sexual life. Methods A total of 180 patients with cesarean section postpartum hemorrhage admitted in The Second Affiliated Hospital of Xi′an Medical University from January 2015 to November 2016 were selected and randomly divided into control group(n=90) and study group(n=90). Patients in the control group receivedroutine treatment of cesarean section postpartum hemorrhage, while patients in the study group received B-Lynch suture in the treatment of cesarean section postpartum hemorrhage. The treatment effect and the quality of postoperative sexual life was evaluated and documented. Results After treatment, the effective rate of study group was significantly higher than that of control group with statistically significant difference(P<0.05). There was no statistically significant difference in the index scores of sexual function between the two groups before treatment(P>0.05), but after treatment, the scores of all indexes in the study group were significantly higher than those of the control group, with statistically significant differences(P<0.05). The operation time of the study group was longer than that of the control group, and the time of bed ambulation and hospital stay were lower than those of the control group, with statisticallysignificant differences(P<0.05). Conclusions B-Lynch suture is of better curative effect in the treatment of cesarean section postpartum hemorrhage with good hemostatic effect, which can retain the uterus and improve the quality of sexual life of patients, hereby worthy of further clinical application.
Objective To evaluate the effect of B-Lynch suture in treating cesarean section postpartum hemorrhage and evaluate the quality of postoperative sexual life. Methods A total of 180 patients with cesarean section postpartum hemorrhage admitted in The Second Affiliated Hospital of Xi′an Medical University from January 2015 to November 2016 were selected and randomly divided into control group(n=90) and study group(n=90). Patients in the control group receivedroutine treatment of cesarean section postpartum hemorrhage, while patients in the study group received B-Lynch suture in the treatment of cesarean section postpartum hemorrhage. The treatment effect and the quality of postoperative sexual life was evaluated and documented. Results After treatment, the effective rate of study group was significantly higher than that of control group with statistically significant difference(P<0.05). There was no statistically significant difference in the index scores of sexual function between the two groups before treatment(P>0.05), but after treatment, the scores of all indexes in the study group were significantly higher than those of the control group, with statistically significant differences(P<0.05). The operation time of the study group was longer than that of the control group, and the time of bed ambulation and hospital stay were lower than those of the control group, with statisticallysignificant differences(P<0.05). Conclusions B-Lynch suture is of better curative effect in the treatment of cesarean section postpartum hemorrhage with good hemostatic effect, which can retain the uterus and improve the quality of sexual life of patients, hereby worthy of further clinical application.
引文
[1] 郅玲玲,马秀华,王会芝,等.改良B-lynch缝合术在剖宫产中难治性产后出血的临床应用[J].中国妇幼保健,2015,42(34):559-560.
[2] 刘巧英.欣母沛联合改良B-Lynch子宫缝合术治疗剖宫产难治性子宫收缩乏力性产后出血效果观察[J].河北医科大学学报,2016,37(2):210-212.
[3] 仲秀梅,张春艳.探讨B-Lynch缝合术治疗剖宫产产后出血的临床疗效及术后出血量的变化[J].中国妇幼保健,2016,31(24):5529-5531.
[4] 蔡淼,白云.子宫动脉结扎联合B-Lynch缝合术治疗剖宫产产后出血的围术期护理[J].实用临床医药杂志,2016,20(20):109-111.
[5] 陈艳鸿.改良B-Lynch缝合联合卡前列素氨丁三醇治疗剖宫产产后出血疗效分析[J].中国优生与遗传杂志,2017(4):93-94.
[6] Zhang L,Zhou X,Long Z.Clinical study of B-lynch suture in the treatment of postpartum hemorrhage after cesarean section[J].China Health Industry,2015,11(10):236-238.
[7] 刘伟武,罗宇迪,徐秀英,等.子宫动脉结扎术联合改良式子宫压缩缝合术在剖宫产产后出血中的应用[J].海南医学,2016,27(6):238-240.
[8] 杨翠丽,莫中福,翟红卫,等.一次性Bakri球囊压迫联合B-Lynch手术治疗剖宫产产后出血临床对比研究[J].河北医药,2016,38(12):1867-1870.
[9] 陈志敏,孙凯,江华.改良式B-Lynch缝合术治疗剖宫产术中出血的临床应用价值及预后观察[J].中国性科学,2017,26(2):105-108.
[10] Xin Z,Huang Y,Li Y,et al.Observation on Curative Effect of Postpartum Hemorrhage During Cesarean Section for Treating by B-lynch Suture[J].China Continuing Medical Education,2016,1(10):126-128.
[11] 孙笑,黄艳,张慧婧,等.B-Lynch缝合术处理宫缩乏力产后出血的疗效及对远期生育力的影响[J].中华围产医学杂志,2016,19(12):910-913.
[12] 杨丽娜,李巨.子宫动脉上行支结扎术与 B-Lynch缝合术在产后出血中的应用效果观察[J].中国计划生育和妇产科,2015,12(11):22-25.
[13] 魏岩,汪俊丽.改良B-Lynch缝合术联合卡前列素氨丁三醇治疗剖宫产术中宫缩乏力性出血的临床效果与安全性探讨[J].现代仪器与医疗,2015,21(3): 46-48.
[14] 徐欣然,崔洪艳,程兰,等.子宫B-Lynch缝合术联合宫腔纱条填塞术在中央性前置胎盘剖宫产术中产后出血的应用[J].国际妇产科学杂志,2017,44(3): 339-342.
[15] 殷思珍,孙瑞勤,杨龙慧.预防性应用卡前列素氨丁三醇联合低位B-Lynch缝合术对前置胎盘术中出血的临床观察[J].实用医学杂志,2015,31(24): 4120-4122.
[16] 刘艳丽,吴宏宇,卢艳丽.小壶给缩宫素与改良B-Lynch缝合术联合应用难治性产后出血治疗中的作用[J].山西医药杂志,2016,45(5):567-569.
[17] 严翠华,王晓红,李淑民.卡前列素氨丁三醇联合低位B-Lynch缝合术治疗难治性前置胎盘产后出血的疗效及安全性[J].中国临床研究,2016,29(4): 541-543.
[18] Zhang Y,Liu P,Wang Y,et al.Clinical value of uterine contraction combined with B-Lynch suture in the prevention of postpartum hemorrhage of cesarean section[J].Clinical Research & Practice,2017,3(10):111-114.
[2] 刘巧英.欣母沛联合改良B-Lynch子宫缝合术治疗剖宫产难治性子宫收缩乏力性产后出血效果观察[J].河北医科大学学报,2016,37(2):210-212.
[3] 仲秀梅,张春艳.探讨B-Lynch缝合术治疗剖宫产产后出血的临床疗效及术后出血量的变化[J].中国妇幼保健,2016,31(24):5529-5531.
[4] 蔡淼,白云.子宫动脉结扎联合B-Lynch缝合术治疗剖宫产产后出血的围术期护理[J].实用临床医药杂志,2016,20(20):109-111.
[5] 陈艳鸿.改良B-Lynch缝合联合卡前列素氨丁三醇治疗剖宫产产后出血疗效分析[J].中国优生与遗传杂志,2017(4):93-94.
[6] Zhang L,Zhou X,Long Z.Clinical study of B-lynch suture in the treatment of postpartum hemorrhage after cesarean section[J].China Health Industry,2015,11(10):236-238.
[7] 刘伟武,罗宇迪,徐秀英,等.子宫动脉结扎术联合改良式子宫压缩缝合术在剖宫产产后出血中的应用[J].海南医学,2016,27(6):238-240.
[8] 杨翠丽,莫中福,翟红卫,等.一次性Bakri球囊压迫联合B-Lynch手术治疗剖宫产产后出血临床对比研究[J].河北医药,2016,38(12):1867-1870.
[9] 陈志敏,孙凯,江华.改良式B-Lynch缝合术治疗剖宫产术中出血的临床应用价值及预后观察[J].中国性科学,2017,26(2):105-108.
[10] Xin Z,Huang Y,Li Y,et al.Observation on Curative Effect of Postpartum Hemorrhage During Cesarean Section for Treating by B-lynch Suture[J].China Continuing Medical Education,2016,1(10):126-128.
[11] 孙笑,黄艳,张慧婧,等.B-Lynch缝合术处理宫缩乏力产后出血的疗效及对远期生育力的影响[J].中华围产医学杂志,2016,19(12):910-913.
[12] 杨丽娜,李巨.子宫动脉上行支结扎术与 B-Lynch缝合术在产后出血中的应用效果观察[J].中国计划生育和妇产科,2015,12(11):22-25.
[13] 魏岩,汪俊丽.改良B-Lynch缝合术联合卡前列素氨丁三醇治疗剖宫产术中宫缩乏力性出血的临床效果与安全性探讨[J].现代仪器与医疗,2015,21(3): 46-48.
[14] 徐欣然,崔洪艳,程兰,等.子宫B-Lynch缝合术联合宫腔纱条填塞术在中央性前置胎盘剖宫产术中产后出血的应用[J].国际妇产科学杂志,2017,44(3): 339-342.
[15] 殷思珍,孙瑞勤,杨龙慧.预防性应用卡前列素氨丁三醇联合低位B-Lynch缝合术对前置胎盘术中出血的临床观察[J].实用医学杂志,2015,31(24): 4120-4122.
[16] 刘艳丽,吴宏宇,卢艳丽.小壶给缩宫素与改良B-Lynch缝合术联合应用难治性产后出血治疗中的作用[J].山西医药杂志,2016,45(5):567-569.
[17] 严翠华,王晓红,李淑民.卡前列素氨丁三醇联合低位B-Lynch缝合术治疗难治性前置胎盘产后出血的疗效及安全性[J].中国临床研究,2016,29(4): 541-543.
[18] Zhang Y,Liu P,Wang Y,et al.Clinical value of uterine contraction combined with B-Lynch suture in the prevention of postpartum hemorrhage of cesarean section[J].Clinical Research & Practice,2017,3(10):111-114.