陈玲+黄小琴

摘 要 目的：探讨子宫压迫缝合治疗剖宫产产后出血的临床效果。方法：选取2012年11月—2014年10月收治的剖宫产产后出血产妇85例，随机分为试验组43例，采用子宫压迫缝合治疗；对照组42例，采取传统手术治疗。观察两组手术时间、产后出血量、产褥病率、子宫切除率、平均住院时间、月经复潮时间。结果：试验组手术时间为（51.57±5.24）min，产后出血量为（672.48±26.84）ml，对照组手术时间为（67.84±6.21）min，产后出血量为（1 106.24±35.77）ml，组间差异有统计学意义（P<0.05）。试验组产褥病率和子宫切除率分别为4.65%（2/43）和0，对照组产褥病率和子宫切除率分别为28.57%（12/42）和9.52%（4/42），组间差异有统计学意义（P<0.05）。试验组平均住院时间为（6.21±1.94）d，低于对照组的（10.33±2.46）d（P<0.05）。结论：子宫压迫缝合治疗剖宫产产后出血的临床效果较好。

关键词 产后出血 子宫压迫缝合 剖宫产

中图分类号：R714.46+1 文献标志码：A 文章编号：1006-1533（2016）16-0021-02

Evaluation of the effect of uterine compression suture in the treatment of postpartum hemorrhage

CHEN Ling， HUANG Xiaoqin

（Department of Obstetrics and Gynecology of TCM Hospital， Dongxiang County， Jiangxi Province 331800， China）

ABSTRACT Objective： To investigate the clinical effect of uterine compression suture in the treatment of postpartum hemorrhage of cesarean section. Methods： From Nov. 2012 to Oct. 2014， 85 cases of caesarean postpartum hemorrhage were selected and randomly divided into an experiment group with 43 cases who were treated with uterine compression suture and a control group with 42 cases with conventional surgery. The operative time， postpartum bleeding， puerperal morbidity， hysterectomy rate， average hospital stay and menstruation after tide time were observed in the two groups. Results： The operation time was （51.57±5.24）min， and the amount of postpartum hemorrhage was （672.48 ± 26.84） ml in the experimental group， and the operation time was （67.84±6.21）min， and the amount of postpartum hemorrhage was （1106.24±35.77）ml in the control group， and there were significant differences between the two groups（P<0.05）. Puerperal morbidity and hysterectomy rate were 4.65%（2/43） and 0 in the experimental group， puerperal morbidity and hysterectomy rates were 28.57%（12/42） and 9.52%（4/42） in the control group， and there were significant differences between the two groups（P<0.05）. The average length of hospital stay in the experimental group was （6.21±1.94） d which was lower than that in the control group[ （10.33 ± 2.46）d， （P<0.05）]. Conclusion： The uterine compression suture has good clinical effect in the treatment of postpartum hemorrhage after cesarean section.

KEY WORDS postpartum hemorrhage； uterus oppression suture； caesarean

产后出血是产科常见并发症之一，是引起产妇死亡的主要原因之一。临床需积极有效的处理产后出血，挽救产妇生命[1]。研究有效的处理产后出血的方法，对于保障产妇生命、提高产妇生活质量具有重要意义。我院采用子宫压迫缝合术治疗产后出血疗效较好，现报道如下。

1 资料与方法

1.1 一般资料

选取我院2012年11月—2014年10月收治的剖宫产产后出血产妇85例，按照入院顺序随机均分为试验组和对照组。试验组43例，年龄为24～36岁，平均（28.49±6.54）岁，足月分娩；双胎妊娠17例，巨大儿10例，重度子痫前期10例，前置胎盘6例。对照组42例，年龄为24～35岁，平均（29.11±6.21）岁，足月分娩；双胎妊娠17例，巨大儿10例，重度子痫前期9例，前置胎盘6例。两组产妇的临床一般资料相比差异无统计学意义（P>0.05）。患者均签署知情同意协议书。排除合并其他疾病患者。

1.2 方法

对照组采取传统手术治疗，按摩子宫，热盐水纱布垫压迫出血部位，应用缩宫素，静脉应用止血药物，出血部位8字缝合，双侧子宫动脉上行支结扎、宫腔填塞纱条。