中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
34期
49-50,51
,共3页
欣母沛%子宫背带式缝合术%剖宫产%产后出血
訢母沛%子宮揹帶式縫閤術%剖宮產%產後齣血
흔모패%자궁배대식봉합술%부궁산%산후출혈
Hemabate%Uterine parceled syture%Cesarean delivery%Postpartum hemorrhage
目的：探讨研究欣母沛联合子宫背带式缝合法预防剖宫产产后出血的临床应用。方法：将符合标准的120例孕产妇随机分成观察组60例与对照组60例，观察组采用欣母沛联合子宫背带式缝合法进行预防治疗，对照组使用常规方法进行预防治疗，比较两种方法的效果。结果：观察组术中出血量与产后24 h出血量分别为（201.2±23.3）mL与（327.3±51.2）mL，显著低于对照组的（226.7±31.9）mL与（359.7±49.6）mL（P<0.05）。观察组患者产后出血率为11.67%（7/60），显著性低于对照组的25.00%（15/60）（字2=3.56，P<0.05）。观察组患者术后第5、7天子宫复旧情况以及患者的住院时间分别为（12.34±0.47）cm、（10.50±0.43）cm与（7.3±1.2）d，均显著低于对照组的（13.28±0.86）cm、（11.88±0.74）cm与（9.1±1.8）d（P<0.05）。结论：欣母沛联合子宫背带式缝合法不仅能够有效预防产后子宫出血，同时能够促进患者恢复，值得在临床上推广使用。
目的：探討研究訢母沛聯閤子宮揹帶式縫閤法預防剖宮產產後齣血的臨床應用。方法：將符閤標準的120例孕產婦隨機分成觀察組60例與對照組60例，觀察組採用訢母沛聯閤子宮揹帶式縫閤法進行預防治療，對照組使用常規方法進行預防治療，比較兩種方法的效果。結果：觀察組術中齣血量與產後24 h齣血量分彆為（201.2±23.3）mL與（327.3±51.2）mL，顯著低于對照組的（226.7±31.9）mL與（359.7±49.6）mL（P<0.05）。觀察組患者產後齣血率為11.67%（7/60），顯著性低于對照組的25.00%（15/60）（字2=3.56，P<0.05）。觀察組患者術後第5、7天子宮複舊情況以及患者的住院時間分彆為（12.34±0.47）cm、（10.50±0.43）cm與（7.3±1.2）d，均顯著低于對照組的（13.28±0.86）cm、（11.88±0.74）cm與（9.1±1.8）d（P<0.05）。結論：訢母沛聯閤子宮揹帶式縫閤法不僅能夠有效預防產後子宮齣血，同時能夠促進患者恢複，值得在臨床上推廣使用。
목적：탐토연구흔모패연합자궁배대식봉합법예방부궁산산후출혈적림상응용。방법：장부합표준적120례잉산부수궤분성관찰조60례여대조조60례，관찰조채용흔모패연합자궁배대식봉합법진행예방치료，대조조사용상규방법진행예방치료，비교량충방법적효과。결과：관찰조술중출혈량여산후24 h출혈량분별위（201.2±23.3）mL여（327.3±51.2）mL，현저저우대조조적（226.7±31.9）mL여（359.7±49.6）mL（P<0.05）。관찰조환자산후출혈솔위11.67%（7/60），현저성저우대조조적25.00%（15/60）（자2=3.56，P<0.05）。관찰조환자술후제5、7천자궁복구정황이급환자적주원시간분별위（12.34±0.47）cm、（10.50±0.43）cm여（7.3±1.2）d，균현저저우대조조적（13.28±0.86）cm、（11.88±0.74）cm여（9.1±1.8）d（P<0.05）。결론：흔모패연합자궁배대식봉합법불부능구유효예방산후자궁출혈，동시능구촉진환자회복，치득재림상상추엄사용。
Objective:To integrative clinical application of hemabate combined with uterine parceled syture in prevention of cesarean delivery postpartum hemorrhage.Method:120 pregnant women were chosen and randomly divided into two groups. The observed group(60 cases)was treated with hemabate combined with uterine parceled syture,while the control group(60 cases)was treated with the traditional method. The curative effects of the two treatments were compared.Result:The bleeding amount during the operation and 24 h after the operation in observed group were(201.2±23.3)mL and(327.3±51.2)mL,which were significantly lower than(226.7±31.9)mL and (359.7±49.6)mL of the control group(P<0.05).The postpartum hemorrhage rate in observed group was 11.67%(7/60), which was significantly lower than that of the control group which was 25.00%(15/60)(χ2=3.56,P<0.05).The uterine instauration 5 and 7 days after the operation and the LOS in observed group were(12.34±0.47)cm,(10.50±0.43) cm and(7.3±1.2)d,which were significantly lower than(13.28±0.86)cm,(11.88±0.74)cm and(9.1±1.8)d of the control group(P<0.05).Conclusion:Hemabate combined with uterine parceled syture can effectively prevent postpartum uterus bleeding and can promote patients recovery.It is worthy of promotion in clinic.
