何翠芬 邹霞 温楚雪

【摘要】目的：观察背带式子宫缝合联合水囊压迫治疗剖宫产中难治性产后出血的疗效。方法：本研究开展时间为2017年3月至2020年6月，实验对象为剖宫产中难治性产后出血患者（n=70），按随机法分组，对照组（n=35）采用水囊压迫止血法治疗，观察组（n=35）采用背带式子宫缝合联合水囊压迫治疗，比较两组患者的临床治疗疗效以及各项临床指标。结果：观察组临床治疗总有效率为91.43 %，对照组为71.43 %，前者明显高于后者（P<0.05）。观察组手术时间明显短于对照组，术中出血量、术后24 h出血量明显少于对照组（P<0.05）。結论：采用背带式子宫缝合联合水囊压迫治疗剖宫产中难治性产后出血患者，能获得较好的疗效，值得应用。

【关键词】背带式子宫缝合；水囊压迫；剖宫产；难治性产后出血

[中图分类号]R719.8 [文献标识码]A [文章编号]2096-5249（2021）13-0056-02

linical observation on the treatment of intractable postpartum hemorrhage in cesarean section with strap type uterine suture combined with water sac compression

HE Cui-fen， ZOU Xia， WEN Chu-xue （Department of Obstetrics， people’s Hospital of Zhongkai District， Huizhou Guangdong 516000， China）

[Abstract] Objective： To observe the effect of strap type uterine suture combined with water sac compression in the treatment of intractable postpartum hemorrhage during cesarean section. Methods： This study was conducted from March 2017 to June 2020. The experimental subjects were 70 patients with intractable postpartum hemorrhage during cesarean section. They were randomly divided into control group （n = 35） and observation group （n = 35）. The clinical efficacy and clinical indicators of the two groups were compared. Results： the total effective rate of the observation group was 91.43%， which was significantly higher than that of the control group （71.43%）（P < 0.05）. The operation time of the observation group was significantly shorter than that of the control group， and the intraoperative blood loss and 24-hour postoperative blood loss of the observation group were significantly less than those of the control group （P < 0.05）. Conclusion： the treatment of intractable postpartum hemorrhage in cesarean section with strap type uterine suture combined with water sac compression can obtain good curative effect， which is worthy of application.

[Key words] Strap type uterine suture； Water sac compression； Cesarean section； Intractable postpartum hemorrhage

产后出血作为剖宫产女性最常见的并发症之一，同时也是导致女性死亡的主要因素之一[1]。对经过常规治疗后，但却无效而形成的难治性产后出血患者来讲，其病情更为凶险，且病程发展速度极快；若是不及时采取合理、正确的治疗措施，可能会直接对患者的生命安全构成威胁[2]。因此，如何迅速、有效地控制剖宫产难治性产后出血患者的症状已经成为临床产科急需解决的重要问题之一。鉴于此，本文主要将2017年3月至2020年6月期间，在我院诊治的70例剖宫产中难治性产后出血患者作为实验对象，采用背带式子宫缝合联合水囊压迫治疗后，探析其临床应用价值，为临床提供参考，具体内容如下。……