医学理论与实践
醫學理論與實踐
의학이론여실천
The Journal of Medical Theory and Practice
2014年
22期
2966-2968
,共3页
改良式B-Lynch缝合%米索前列醇%直肠用药%剖宫产术中出血%子宫收缩乏力
改良式B-Lynch縫閤%米索前列醇%直腸用藥%剖宮產術中齣血%子宮收縮乏力
개량식B-Lynch봉합%미색전렬순%직장용약%부궁산술중출혈%자궁수축핍력
B-Lynch suture technique%Misoprostol%Cesareah section%Uterine inertia
目的：探讨剖宫产术中子宫收缩乏力性出血应用改良式B‐Lynch缝合术联合米索前列醇直肠用药的疗效观察及应用价值。方法：选择2011年1月－2014年6月在我院行剖宫产术的56例术中发生子宫收缩乏力性出血的产妇分为对照组及观察组，对照组采用按摩子宫、热盐水纱布热敷子宫、宫体及静脉应用缩宫素、舌下含化米索前列醇以及局部8字缝扎胎盘剥离面出血点等传统处理方法，观察组在此基础上采用改良式B‐Lynch缝合术联合米索前列醇直肠用药治疗，评价手术时间、监测术中状况、出血量、产褥病率、有效率、有无晚期产后出血及术后随访。结果：观察组平均手术时间（39．69±10．8）min ，出血量（520±260）ml ，产褥病率10.7％，有效率100.0％，子宫成功保留，明显减少了术中出血量，无晚期产后出血，术后随访恢复良好，与对照组各项指标比较，差异有统计学意义（P＜0．05）。结论：改良式B‐Lynch缝合术联合米索前列醇治疗剖宫产术中子宫收缩乏力性出血具有较好的临床使用价值，值得推广应用。
目的：探討剖宮產術中子宮收縮乏力性齣血應用改良式B‐Lynch縫閤術聯閤米索前列醇直腸用藥的療效觀察及應用價值。方法：選擇2011年1月－2014年6月在我院行剖宮產術的56例術中髮生子宮收縮乏力性齣血的產婦分為對照組及觀察組，對照組採用按摩子宮、熱鹽水紗佈熱敷子宮、宮體及靜脈應用縮宮素、舌下含化米索前列醇以及跼部8字縫扎胎盤剝離麵齣血點等傳統處理方法，觀察組在此基礎上採用改良式B‐Lynch縫閤術聯閤米索前列醇直腸用藥治療，評價手術時間、鑑測術中狀況、齣血量、產褥病率、有效率、有無晚期產後齣血及術後隨訪。結果：觀察組平均手術時間（39．69±10．8）min ，齣血量（520±260）ml ，產褥病率10.7％，有效率100.0％，子宮成功保留，明顯減少瞭術中齣血量，無晚期產後齣血，術後隨訪恢複良好，與對照組各項指標比較，差異有統計學意義（P＜0．05）。結論：改良式B‐Lynch縫閤術聯閤米索前列醇治療剖宮產術中子宮收縮乏力性齣血具有較好的臨床使用價值，值得推廣應用。
목적：탐토부궁산술중자궁수축핍력성출혈응용개량식B‐Lynch봉합술연합미색전렬순직장용약적료효관찰급응용개치。방법：선택2011년1월－2014년6월재아원행부궁산술적56례술중발생자궁수축핍력성출혈적산부분위대조조급관찰조，대조조채용안마자궁、열염수사포열부자궁、궁체급정맥응용축궁소、설하함화미색전렬순이급국부8자봉찰태반박리면출혈점등전통처리방법，관찰조재차기출상채용개량식B‐Lynch봉합술연합미색전렬순직장용약치료，평개수술시간、감측술중상황、출혈량、산욕병솔、유효솔、유무만기산후출혈급술후수방。결과：관찰조평균수술시간（39．69±10．8）min ，출혈량（520±260）ml ，산욕병솔10.7％，유효솔100.0％，자궁성공보류，명현감소료술중출혈량，무만기산후출혈，술후수방회복량호，여대조조각항지표비교，차이유통계학의의（P＜0．05）。결론：개량식B‐Lynch봉합술연합미색전렬순치료부궁산술중자궁수축핍력성출혈구유교호적림상사용개치，치득추엄응용。
Objective :To investigate cesarean section uterine contractions fatigue hemorrhages in the application of the improved B‐Lynch suture technique combining misoprostol rectum to curative effect observation and application value . Methods :In January 2011 to June 2014 in our hospital cesarean section of 56 cases of uterine contractions fatigue hem‐orrhage in cesarean section of maternal divided into control group and observation group ,control group uses the mas‐sage uterus ,hot brine gauze hot compress ,corpus and uterine intravenous application of oxytocin ,sublingual misopr‐ostol and local eight seam to plunge into the placenta detachment surface bleeder traditional processing methods ,such as observation group on the basis of the improved B‐Lynch suture technique combined misoprostol rectum medication treatment ,evaluation of operation time ,intraoperative monitoring status ,the bleeding ,puerperal disease rate ,effi‐cient ,presence of late postpartum hemorrhage and postoperative follow‐up .Results:Observation group the average op‐eration time (39 .69 ± 10 .8)minutes ,the bleeding (520 ± 260)ml ,puerperal disease rate is 10.7% ,effective rate was 100.0% ,the uterus successfully reserved ,obviously reduced the intraoperative blood loss ,no late postpartum hemor‐rhage ,postoperative follow‐up restore good ,compared with control group the indicators ,the difference was statistical‐ly significant (P< 0 .05) .Conclusion:Modified B‐Lynch suture technique combined misoprostol treatment of uterine contractions fatigue hemorrhage in cesarean section has good clinical use value ,worthy of popularization and applica‐tion .
