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目的探讨改良B-Lynch缝合联合欣母沛治疗顽固性宫缩乏力产后出血的效果。方法选取深圳市妇幼保健院产科收治的顽固性宫缩乏力产后出血患者58例作为研究对象,采用数字随机将患者随机均分为两组,对照组予以改良B-Lynch缝合联合缩宫素治疗,观察组予以改良B-Lynch缝合联合欣母沛治疗,记录两组术中出血量、术后24 h出血量、止血时间,记录两组输血率、产褥病发生率、子宫切除率、病死率及两组患者用药不良反应。结果观察组术中出血量、止血时间、术中输血量分别为(876.39±241.26)ml、(9.26±1.05)min、(451.26±158.36)ml,与对照组比较差异有统计学意义(P<0.05);观察组输血率和产褥病发生率分别为17.24%、6.90%,与对照组比较差异有统计学意义(P<0.05)。结论改良B-Lynch缝合联合欣母沛能够有效控制难治性宫缩乏力产后出血,降低子宫切除率。
Objective To investigate the effect of modified B-Lynch suture combined with Xinmaopei in the treatment of postpartum hemorrhage with refractory uterine atony. Methods 58 cases of intractable uterine inertia postpartum hemorrhage treated by obstetrics and gynecology in Shenzhen Maternal and Child Health Hospital were selected as the research object. The patients were randomly divided into two groups randomly. The control group was treated with modified B-Lynch suture combined with oxytocin. The observation group was improved B-Lynch suture combined with Xinmaitai treatment, the two groups of intraoperative blood loss, blood loss after 24 h, stop bleeding time, recording the two groups of blood transfusion rate, the incidence of puerperal, hysterectomy, mortality And two groups of patients medication adverse reactions. Results The intraoperative blood loss, bleeding time and intraoperative blood transfusion in the observation group were (876.39 ± 241.26) ml and (9.26 ± 1.05) min and (451.26 ± 158.36) ml, respectively, which were significantly different from those in the control group (P < 0.05). The incidences of blood transfusion and puerperal were 17.24% and 6.90% respectively in the observation group, which were significantly different from those in the control group (P <0.05). Conclusion Improved B-Lynch suture combined with Xinma Pei can effectively control the postpartum hemorrhage refractory uterine atresia and reduce the hysterectomy rate.