探讨子宫下段平行垂直缝合术联合欣母沛治疗剖宫产产后出血的临床效果.docx

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探讨子宫下段平行垂直缝合术联合欣母沛治疗剖宫产产后出血的临床效果

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[摘要]目的浅析子宫下段平行垂直缝合术联合欣母沛治疗剖宫产产后出血的临床效果。方法此次研究的对象是选取我院妇产科在2015年3月～2016年1月收治的60例剖宫产产后出血患者，将其临床资料进行回顾性分析，并按治疗方法的不同分为观察组与对照组，每组30例患者。给予对照组使用欣母沛加强宫缩，观察组患者则在对照组患者的基础上实施子宫下段平行垂直缝合术。记录对比两组患者在手术过程中的有效止血率、术后再次出血率、并发症发生率。结果观察组患者的术中有效止血率为96.67%，术后再次出血率为3.33%，并发症发生率为6.66%；对照组患者的术中有效止血率为80.00%，术后再次出血率为23.33%，并发症发生率为26.66%；组间比较差异具有统计学意义（P0.05）。结论应用子宫下段平行垂直缝合术联合欣母沛对宫产产后出血患者进行治疗，能够达到快速止血，降低再次出血的几率，减少并发症的发生，为患者回归正常生活有着积极的促进作用，值得临床推广应用。

[关键词]子宫下段平行垂直缝合术；欣母沛；剖宫产

[Objective]toanalyzetheclinicaleffectofparallelverticalsutureofloweruterinesegmentcombinedwithXinMuPeiinthetreatmentofpostpartumhemorrhageincesareansection.Methodstheobjectofthisstudywastoselect60casesofpostpartumhemorrhageaftercesareansectionfromMarch2015toJanuary2016inourdepartmentofgynaecologyandobstetrics.Theclinicaldataofthepatientswereanalyzedretrospectivelyandpidedintotheobservationgroupandthecontrolgroupaccordingtothedifferenttreatmentmethods,and30patientsineachgroup.ThecontrolgroupwastreatedwithHM,andtheobservationgroupwastreatedwithparallelverticalsutureunderthecontrolgroup.Theeffectivehemostaticrate,postoperativebleedingrateandincidenceofcomplicationsinthetwogroupswererecordedandcompared.Resultstheeffectivehemostasisrateofthepatientsintheobservationgroupwas96.67%,thepostoperativerebleedingratewas3.33%,thecomplicationratewas6.66%,theeffectivehemostasisrateofthecontrolgroupwas80%,thepostoperativerebleedingratewas23.33%andthecomplicationratewas26.66%,thedifferencebetweenthegroupswasstatisticallysignificant(P0.05).Conclusiontheapplicationofparallelverticalsutureinloweruterinesegmentcombinedwithhemptotreatthepatientswithpostpartumhemorrhagecanachieverapidhemostasis,reducethechanceofrebleedingandreducetheoccurrenceofcomplications.Ithasapositivepromotingeffectforthepatientstoreturntonormallifeandisworthyofclinicalapplication.

[Keywords]loweruterinesegmentparallelverticalsuture;XinMuPei;cesareansection

产妇分娩后24h是产后大出血的高发时间段，尤其对于剖宫产产妇来说，其创伤面积较大，引起产后大出血的