周 艳 张孝艳

改良B-Lynch缝合联合欣母沛治疗顽固性宫缩乏力产后出血的临床研究

周 艳 张孝艳

【摘要】目的 探索临床上改良B-Lynch缝合联合欣母沛治疗顽固性宫缩乏力性产后出血的临床治疗效果。方法 回顾性分析2010年12月～2013年12月我院收治的顽固性宫缩乏力产后出血患者80例，其中设对照组30例为改良B-Lynch缝合联合缩宫素组，实验组50例为改良B-Lynch缝合联合欣母沛组，对2组的治疗效果包括术中出血量、输血量、止血时间、住院时间及药物不良反应进行比较。结果 80例患者抢救成功，有效止血，保留患者子宫及其正常生理功能，术后未发生严重并发症，未见药物不良反应，其中改良B-Lynch缝合联合欣母沛组疗效更好。结论 改良B-Lynch缝合联合欣母沛治疗顽固性宫缩乏力性产后出血临床效果明显。

【关键词】改良B-Lynch缝合；欣母沛；顽固性宫缩乏力；产后出血

Objective To explore the clinical improvement of B-Lynch stitching joint hemabate the clinical treatment effect of intractable uterine inertia postpartum hemorrhage. Methods A retrospective analysis from December 2010 to December 2013 in our hospital with intractable uterine inertia postpartum hemorrhage patients 80 cases，including a control group of 30 cases of improved B-Lynch stitching joint oxytocin group and experimental group of 50 cases of improved B-Lynch stitching joint hemabate group，to compare treatment effect of 2 groups including intraoperative blood loss，blood transfusion amount，the bleeding time，length of hospital stay，and the adverse drug reactions. Results 80 cases patients rescue success，effective hemostasis，retain uterus and its normal physiological function，with no postoperative serious complications，no obvious adverse drug reactions，improved B-Lynch stitching joint hemabate group curative effect was better. Conclusion The improved B-Lynch stitching joint hemabate in treatment of stubborn sex contractions fatigue postpartum hemorrhage clinical effect is obvious.

【Key words】 Modified B-Lynch suture，Hemabate，Uterine inertia，Postpartum hemorrhage

妊娠患者在分娩后的一天内的阴道内出血（出血量＞500 ml）称为产后出血。该病发生率为2%～3%，是目前我们所了解的产科常见严重并发症，其中严重产后出血是围产期孕产妇死亡的重要因素［1］，产后出血诱因很多，主要包括有宫缩乏力、软产道撕裂伤、产妇凝血功能障碍等情况，其中宫缩乏力是该病发生的最主要病因，占产后出血总数的70%～80%。有效的干预治疗是降低子宫切除率、输血率和死亡率的重要原因。及时合理而有效地对产后出血进行对症处理是减少子宫切除率及降低孕产妇死亡率的关键［2］，本研究所采用的改良B-Lynch缝合联合欣母沛治疗产后出血的临床效果显著，现报道如下。……