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目的探讨宫缩剂联合B-Lynch缝合术防治剖宫产术中子宫收缩乏力性出血的效果。方法有宫缩乏力高危因素的产妇60例,随机均分为两组。A组采用宫缩剂联合B-Lynch缝合术;B组采用传统综合治疗措施。比较两组治疗效果、术中出血量和并发症发生情况。结果 A组术中出血量和术后24-h出血量均少于B组(P<0.05)。A组止血有效率93.3%(28/30),高于B组的76.7%(23/30)(P<0.05)。两组术后并发症发生情况相仿(P>0.05)。结论 B-Lynch缝合术配合宫缩剂能有效防治剖宫产术中子宫收缩乏力性出血。
Objective To investigate the effect of uterotonics combined with B-Lynch suture on the prevention and treatment of uterine atony in cesarean section. Methods 60 cases of maternal high risk factors for uterine atony were randomly divided into two groups. A group using uterotonics combined with B-Lynch suture; B group using the traditional comprehensive treatment. The therapeutic effects, intraoperative blood loss and complications were compared between the two groups. Results The intraoperative blood loss and the amount of 24-hour postoperative bleeding in group A were less than those in group B (P <0.05). The effective rate of hemostasis in group A was 93.3% (28/30), which was higher than 76.7% (23/30) in group B (P <0.05). The incidence of postoperative complications in both groups was similar (P> 0.05). Conclusion B-Lynch suture combined with uterine contractions can effectively prevent uterine atony in cesarean section bleeding.