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    按压子宫联合阴道填塞纱布与B-Lynch缝合治疗宫缩乏力所致产后出血效果比较

    Comparison of the efficacy of pressing the uterus combined with intra-uterine packed with sterilized gauzes and B-Lynch sutures for treatment of postpartum hemorrhage caused by uterine inertia

    • 摘要: 目的比较按压子宫联合阴道填塞纱布与B-Lynch缝合两种治疗方法对治疗宫缩乏力所致产后出血的效果。方法收集我院自2015年1月至2016年6月收治的58例剖宫产产后出血病例,随机分为2组,其中观察组26例,进行按压子宫联合阴道填塞纱布治疗,对照组32例,进行B-Lynch缝合治疗。观察2组的手术指标和治疗效果。结果与对照组相比,观察组治疗后2 h出血量明显减少(P<0.05),但治疗所需时间显著延长(P<0.05),术后24 h出血量没有显著差异(P>0.05)。观察组的治疗有效率较对照组更高(P<0.05)。结论按压子宫联合阴道填塞纱布治疗宫缩乏力所致的产后出血,操作简便,起效迅速,止血效果明显。

       

      Abstract: ObjectiveTo compare the efficacy of pressing the uterus combined with intra-uterine packed with sterilized gauzes and B-Lynch sutures for treatment of postpartum hemorrhage caused by uterine inertia. MethodsA total of 58 patients with postpartum hemorrhage who was admitted into our hospital from January 2015 to June 2016 were selected. They were randomly divided into two groups: an observation group (n=26) and a control group (n=32). The observation group underwent pressing the uterus combined with intra-uterine packed with sterilized gauzes, while the control group received B-Lynch suturing. The two groups were compared for treatment efficacy. ResultsCompared with the control group, the observation group showed remarkably reduced volumes of blood loss 2 h after treatment (P<0.05), which required marked longer treatment time (P<0.05), without significant difference in the volume of blood loss 24 h after surgery (P>0.05). The observation group presented significantly higher efficacy than the control group (P<0.05). ConclusionsPressing the uterus combined with intra-uterine packed with sterilized gauzes is an easy and effective approach to treat postpartum hemorrhage.

       

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