张雪萍

【摘要】 目的：探讨在剖宫产产后出血治疗中应用改良子宫背带式缝合术的价值。方法：选取2018年12月-2019年3月笔者所在医院治疗的剖宫产产后出血患者42例作为研究对象。将其随机分为观察组和对照组，每组21例。对照组采用宫腔纱条填塞治疗，观察组则采用改良子宫背带式缝合术治疗。比较两组术后24 h出血量、住院时间、并发症发生情况。结果：观察组患者术后24 h出血量为（105.23±19.42）ml，明显少于对照组的（186.69±45.21）ml，差异有统计学意义（P<0.05）。观察组住院时间（4.86±1.12）d，短于对照组的（6.57±1.84）d，差异有统计学意义（P<0.05）。观察组术后并发症发生率为4.76%，低于对照组的33.33%，差异有统计学意义（P<0.05）。结论：改良子宫背带式缝合术治疗剖宫产产后出血，可减少出血量，缩短住院时间，降低并发症发生率，值得临床推广。

【关键词】 改良子宫背带式缝合术; 产后出血; 宫腔纱条填塞

doi：10.14033/j.cnki.cfmr.2019.27.010 文献标识码 B 文章编号 1674-6805（2019）27-00-02

Analysis of the Clinical Value of Modified Uterine Strap Suture in the Prevention of Treatment Hemorrhage after Cesarean Section/ZHANG Xueping.//Chinese and Foreign Medical Research，2019，17（27）：-23

【Abstract】 Objective：To explore the value of modified uterine strap suture in the treatment of postpartum hemorrhage after cesarean section.Method：A total of 42 patients with postpartum hemorrhage after cesarean section treated in our hospital from December 2018 to March 2019 were selected as research objects.They were randomly divided into the observation group and the control group，with 21 cases in each group.The control group was treated with uterine gauze tamponade，while the observation group was treated with modified uterine strap suture.The amount of bleeding at 24 h after operation，hospitalization time and complications were compared between the two groups.Result：The amount of bleeding 24 h after operation in the observation group was （105.23±19.42）ml，which was significantly less than （186.69±45.21）ml in the control group，the difference was statistically significant（P<0.05）.The hospitalization time of the observation group was （4.86±1.12）d，which was shorter than （6.57±1.84）d in the control group，the difference was statistically significant（P<0.05）.The incidence of postoperative complications in the observation group was 4.76%，which was lower than 33.33% in the control group，the difference was statistically significant（P<0.05）.Conclusion：Modified uterine strap suture for postpartum hemorrhage can reduce the amount of postpartum hemorrhage，and shorten hospitalization time and reduce the incidence of complications，which is worthy of clinical promotion.

【Key words】 Modified uterine strap suture; Postpartum hemorrhage; Uterine gauze tamponade

First-authors address：Women and Childrens Hospital Affiliated to Xiamen University，Xiamen 361000，China

產后出血是指胎儿娩出后24 h内失血量超过500 ml，剖宫产时超过1 000 ml[1]。剖宫产能够帮助产妇缓解分娩疼痛，但很容易出现产后出血症状。如处理不及时，很容易发生产妇恶性死亡事件。产后出血作为剖宫产术后严重并发症，应及时治疗和控制。在临床上，可采用多种方式治疗剖宫产产后出血。其中，尤以改良子宫背带式缝合术效果最佳，其原理为通过外力对子宫平滑肌作机械性纵向挤压，并挤压子宫壁弓状血管，使血流速度减缓，再经过局部加压后，形成血栓，以此止血[2-3]。本研究旨在探讨改良子宫背带式缝合术治疗剖宫产产后出血的临床价值，现报告如下。

1 资料与方法

1.1 一般资料

选取2018年12月-2019年3月笔者所在医院治疗的剖宫产产后出血患者42例作为研究对象。纳入标准：均为剖宫产产后出血患者，符合背带式缝合术指征。排除标准：凝血功能障碍，肝肾功能不全，精神障碍者。……