国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2014年
14期
2104-2107
,共4页
产后出血%子宫收缩乏力%手术止血
產後齣血%子宮收縮乏力%手術止血
산후출혈%자궁수축핍력%수술지혈
Postpartum hemorrhage%Uterine inertia%Surgical hemostasis
目的 探讨双侧弓形动脉缝扎术对剖宫产术后子宫收缩乏力的产后出血治疗效果.方法 以我院2011年1月至2013年7月间收治的60例宫缩乏力型产后出血保守治疗无效产妇为研究对象,观察组产妇使用双侧弓形动脉缝扎术,对照组产妇使用背带式压捆子宫缝线术,比较两组产妇产后出血止血效果、出血量及手术时间、术后子宫血供情况及术后并发症发生率之间的差异.结果 两组产妇即刻止血率差异无统计学意义(P＞ 0.05),观察组患者产后总出血量和手术时间分别为(354.29±69.50) ml和(61.93±12.84) min,对照组为(423.04±59.27) ml和(84.39±11.72) min,观察组显著低于对照组(P＜0.05),术后子宫血供情况优于对照组,观察组术后并发症发生率为6.67％,显著低于对照组(30.00％),其差异有统计学意义(P＜0.05).结论 双侧弓形动脉缝合术可在剖宫产术后子宫收缩乏力型产后出血中起到积极作用,其止血效果明确、手术时间较短,对产妇子宫血供影响小,术后并发症发生风险低.
目的 探討雙側弓形動脈縫扎術對剖宮產術後子宮收縮乏力的產後齣血治療效果.方法 以我院2011年1月至2013年7月間收治的60例宮縮乏力型產後齣血保守治療無效產婦為研究對象,觀察組產婦使用雙側弓形動脈縫扎術,對照組產婦使用揹帶式壓捆子宮縫線術,比較兩組產婦產後齣血止血效果、齣血量及手術時間、術後子宮血供情況及術後併髮癥髮生率之間的差異.結果 兩組產婦即刻止血率差異無統計學意義(P＞ 0.05),觀察組患者產後總齣血量和手術時間分彆為(354.29±69.50) ml和(61.93±12.84) min,對照組為(423.04±59.27) ml和(84.39±11.72) min,觀察組顯著低于對照組(P＜0.05),術後子宮血供情況優于對照組,觀察組術後併髮癥髮生率為6.67％,顯著低于對照組(30.00％),其差異有統計學意義(P＜0.05).結論 雙側弓形動脈縫閤術可在剖宮產術後子宮收縮乏力型產後齣血中起到積極作用,其止血效果明確、手術時間較短,對產婦子宮血供影響小,術後併髮癥髮生風險低.
목적 탐토쌍측궁형동맥봉찰술대부궁산술후자궁수축핍력적산후출혈치료효과.방법 이아원2011년1월지2013년7월간수치적60례궁축핍력형산후출혈보수치료무효산부위연구대상,관찰조산부사용쌍측궁형동맥봉찰술,대조조산부사용배대식압곤자궁봉선술,비교량조산부산후출혈지혈효과、출혈량급수술시간、술후자궁혈공정황급술후병발증발생솔지간적차이.결과 량조산부즉각지혈솔차이무통계학의의(P＞ 0.05),관찰조환자산후총출혈량화수술시간분별위(354.29±69.50) ml화(61.93±12.84) min,대조조위(423.04±59.27) ml화(84.39±11.72) min,관찰조현저저우대조조(P＜0.05),술후자궁혈공정황우우대조조,관찰조술후병발증발생솔위6.67％,현저저우대조조(30.00％),기차이유통계학의의(P＜0.05).결론 쌍측궁형동맥봉합술가재부궁산술후자궁수축핍력형산후출혈중기도적겁작용,기지혈효과명학、수술시간교단,대산부자궁혈공영향소,술후병발증발생풍험저.
Objective To explore the effect of bilateral arcuate artery suture hemosatasis in the treatment of postpartum hemorrhage due to uterine inertia after caesarean section.Methods 60 puerperae with postpartum hemorrhage due to uterine inertia after caesarean section were divided into an observation group aud a control group.The Blynch suture hemostasis was used in the control group,and bilateral arcuate artery suture hemostasis in the observation group.The differences of hemostatic effect,operation time,postoperative uterine blood supply situation,and the incidence of complications between the two groups were compared.Results There was no significant difference in henostatic effect between the 2 groups.The postpartum bleeding volume and operation time were (354.29 ± 69.50) ml and (61.93 ± 12.84) min in the observation group and were (423.04 ± 59.27) ml and (84.39 ± 11.72) min in the control group,respectively,with statistical differences(P ＜ 0.05).The postoperative uterine blood supply situation was better in the observation group than in the control group.The incidence of complications was 6.67％ in the observaton group and was 30.00％ in the control group,with a statistical difference(P ＜ 0.05).Conclusions Bilateral arcuate artery suture hemosatasis in the treatment of postpartum hemorrhage due to uterine inertia after caesarean section is effective,and can shorten operation time and lower the incicdence of postoperative complications,and has small influence on the blood supply of uterine.
