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子宫压迫缝合术治疗产后出血效果观察(1)
http://www.100md.com 2017年1月29日 《医学信息》 2017年第4期
     摘要:目的 探讨对产后出血患者实施子宫压迫缝合手术的治疗效果。方法 2014年6月~2016年6月,选择我院收治的64例产后出血患者作为研究对象,随机将其分为对照组和观察组,每组各32例。其中对照组采用对症治疗措施,观察组采用子宫压迫缝合手术治疗,观察比较两组患者的止血效果。结果 治疗以后,观察组患者成功止血率为96.88%,对照组患者成功止血率为81.25%,观察组患者成功止血效果显著优于对照组,数据比较差异具有统计学意义(P<0.05);观察组患者发生并发症的例数为0例,并发症发生率为0.00%,对照组患者发生并发症的例数为4例,并发症发生率为0.00%,观察组患者并发症发生率明显低于对照组,数据比较差异具有统计学意义(P<0.05)。结论 将子宫压迫缝合术应用在产后出血治疗中,止血效果显著,并发症发生率低,具有较高的安全性,值得在临床上推广应用。

    关键词:产后出血;子宫压迫缝合手术;止血效果

    Abstract:Objective To investigate the effect of uterine compression suture in the treatment of postpartum hemorrhage. Methods From June 2014 to June 2016,64 cases of postpartum hemorrhage in our hospital were selected as the research object,randomly divided into control group and observation group,each group of 32 cases.The control group was treated with symptomatic treatment,the observation group was treated with uterine compression suture,and the hemostatic effects of the two groups were observed and compared. Results After treatment,the patients in the observation group were successful hemostasis rate was 96.88%,control group were successful hemostasis rate was 81.25%,the patients in the observation group were successful hemostasis effect was significantly better than the control group,with statistically significant data difference (P < 0.05);The number of complications in the observation group was 0 cases, the complication rate was 0%, the control group of patients with complications of the number of cases in the case of 4 cases, the incidence of complications was 0%,the complication rate of observation group was significantly lower than the control group,with statistically significant data difference(P < 0.05). Conclusion The application of uterine compression suture in the treatment of postpartum hemorrhage, hemostatic effect, low complication rate, high safety, worthy of clinical application.
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    Key words:Postpartum hemorrhage;Uterine compression suture

    產后出血是因为子宫收缩异常、凝血功能异常等多种因素导致产妇在分娩后24 h内发生出血现象,出血量超过500 ml,对产妇的健康影响较大,甚至危害产妇的生命,为能够有效降低产后大出血对产妇的危害,需要及时给予合适的治疗方法,其中子宫压迫缝合手术止血效果较好[1]。本次选取了2014年6月~2016年6月,我院收治的64例产后出血患者作为研究对象,探讨子宫压迫缝合手术的止血效果,结果如下:

    1 资料与方法

    1.1一般资料 选择我院于2014年6月~2016年6月收治的64例产后出血患者作为研究对象,随机将104例患者分为对照组(32例)和观察组(32例)。其中对照组患者年龄为22岁~38岁,平均年龄为(27.62±2.93)岁,孕周37~41 w,平均孕周(38.93±1.42)w,包含子宫收缩异常患者20例,胎盘因素患者8例,软产道损伤患者2例,凝血功能异常患者2例;观察组患者年龄为22~38岁,平均年龄为(28.01±2.41)岁,孕周37~41 w,平均孕周(38.65±1.37)w,包含子宫收缩异常患者21例,胎盘因素患者7例,软产道损伤患者3例,凝血功能异常患者1例。所有患者均自愿签署本次试验知情同意书并或院内伦理委员会论证批准,对照组和观察组患者的年龄、孕周、出血原因等一般资料误差无统计学意义(P>0.05),具有可比性。, 百拇医药(邹颖)
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