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目的探讨欣母沛联合改良B-Lynch缝合术治疗剖宫产术后宫缩乏力性产后出血的临床疗效。方法选取长沙市旺旺医院2015年1月—2017年1月收治的剖宫产术后宫缩乏力性出血患者60例,随机分为对照组和观察组,各30例。对照组患者采用欣母沛联合一般子宫缝合术治疗,观察组患者采用欣母沛联合改良B-Lynch缝合术治疗。比较两组患者手术时间、术中出血量、术后1 d出血量及血红蛋白水平、治疗效果,观察患者并发症发生情况。结果两组患者手术时间及术中出血量比较,差异无统计学意义(P>0.05);观察组患者术后1 d出血量少于对照组,血红蛋白水平高于对照组(P<0.05)。两组患者治疗效果比较,差异无统计学意义(P>0.05)。两组患者术后均未出现并发症。结论采用欣母沛联合改良B-Lynch缝合术治疗剖宫产术后宫缩乏力性产后出血安全有效。
Objective To investigate the clinical effect of Xin-Pei-Pei combined with modified B-Lynch suture in the treatment of postpartum hemorrhage after cesarean section. Methods Sixty patients with uterine bleeding after cesarean section who were treated in Changsha Want Want Hospital from January 2015 to January 2017 were randomly divided into control group and observation group, with 30 cases in each group. Patients in the control group were treated with Yan-Pei combined with general uterine sutures. Patients in the observation group were treated with Yan-Pei-Pei combined with modified B-Lynch sutures. The operation time, intraoperative blood loss, blood loss and hemoglobin level at 1 day after operation were compared between two groups. The therapeutic effect was observed and the complication occurred. Results There was no significant difference in operative time and intraoperative blood loss between the two groups (P> 0.05). The bleeding volume of the observation group was less than that of the control group on one day and the hemoglobin level was higher than that of the control group (P <0.05). There was no significant difference between the two groups in the treatment effect (P> 0.05). No postoperative complications occurred in both groups. Conclusions It is safe and effective to treat postpartum hemorrhage with uterine atresia after cesarean section by using Xinmipei combined with modified B-Lynch suture.