子宫网压缝合术在难治性产后出血治疗中的应用价值分析(1)
【摘要】 目的：探究对难治性产后出血的剖宫产产妇采用子宫网压缝合术的价值。方法：选取2016年1-12月本院收治的剖宫产产妇100例为研究对象，采用双盲法将患者分为对照组和观察组，各50例。对照组采用8字缝合术缝合子宫，观察组采用子宫网压缝合术，观察比较两组的恶露时间、1 d内出血量、住院时间及临床止血情况。结果：观察组的恶露时间为(17.21±3.52)d、1 d内出血量为(593.50±57.60)mL、住院时间为(9.10±3.35)d，均明显少于对照组的(22.60±3.12)d、(692.10±60.30)mL、(15.50±4.10)d，差异均有统计学意义(P<0.05)。观察组的止血总有效率为90.00%，明显高于对照组的64.00%，差异有统计学意义(P<0.05)。结论：对难治性产后出血的剖宫产产妇采用子宫网压缝合术，可减少恶露时间、1 d内出血量、住院时间，止血效果较好，具有较高的临床应用价值。
【关键词】 子宫； 网压缝合术； 难治性产后出血； 应用价值
Analysis of the Application Value of Uterine Netlike Compression Suture in the Treatment of Refractory Postpartum Hemorrhage/LIANG Zheng-yi.//Medical Innovation of China，2017，14(12)：005-008
【Abstract】 Objective：To explore the application value of uterine netlike compression suture in the treatment of refractory postpartum hemorrhage.Method：100 cases of cesarean section maternity admitted in our hospital from January 2016 to December 2016 were selected as the subjects，they were divided into the control group and the observation group by using double-blind method，50 cases in each group.The control group used 8-word suture，and the observation group used uterine netlike compr e ssion suture，the loosening time，the amount of bleeding in one day，the length of hospital stay and clinical hemostasis were observed and compared between the two groups.Result：The loosening time was (17.21±3.52)d，the amount of blood loss in one day was (593.50±57.60)mL and the time of hospitalization was (9.10±3.35)d of the observation group，which were significantly less than (22.60±3.12)d，(692.10±60.30)mL and (15.50±4.10)d in control group，the differences were statistically significant(P<0.05).The hemostasis total effective rate of the observation group was 90.00%，which was significantly higher than 64.00% of the control group，the difference was statistically significant(P<0.05).Conclusion：Uterine pressure suture for cesarean section in patients with intractable postpartum hemorrhage，can reduce the amount of lochia time，bleeding within 1 day，hospitalization time，hemostatic effect is good，it has high clinical application value.
【Key words】 Uterus； Netlike compression suture； Intractable postpartum hemorrhage； Application value
First-author’s address：Maternal and Child Health Hospital of Jiangxi Province，Nanchang 330046，China
doi：10.3969/j.issn.1674-4985.2017.12.002
剖宮产手术目前在临床上较为常见，剖宫产术常常会给女性的身体带来严重的伤害，女性行剖宫产术后常常会有一些并发症发生，例如难治性产后出血。产后出血一般指产后2 h内顺产出血超过500 mL，剖宫产超过1000 mL的产妇。产后出血常常给产妇带来很大的伤害，在止血中甚至需要切除子宫，产妇身体和心灵都受到很大的影响，采用良好的缝合方法可对产后出血进行控制[1-3]。目前，子宫网压缝合术开始在难治性产后出血的临床治疗中使用，并取得了颇为显著的效果，成为一种安全、有效的治疗方法。本研究选取2016年1-12月入院的100例剖宫产产妇作为研究对象，探究对难治性产后出血的剖宫产产妇采用子宫网压缝合术的应用价值，现报告如下。, 百拇医药(梁正仪)
【关键词】 子宫； 网压缝合术； 难治性产后出血； 应用价值
Analysis of the Application Value of Uterine Netlike Compression Suture in the Treatment of Refractory Postpartum Hemorrhage/LIANG Zheng-yi.//Medical Innovation of China，2017，14(12)：005-008
【Abstract】 Objective：To explore the application value of uterine netlike compression suture in the treatment of refractory postpartum hemorrhage.Method：100 cases of cesarean section maternity admitted in our hospital from January 2016 to December 2016 were selected as the subjects，they were divided into the control group and the observation group by using double-blind method，50 cases in each group.The control group used 8-word suture，and the observation group used uterine netlike compr e ssion suture，the loosening time，the amount of bleeding in one day，the length of hospital stay and clinical hemostasis were observed and compared between the two groups.Result：The loosening time was (17.21±3.52)d，the amount of blood loss in one day was (593.50±57.60)mL and the time of hospitalization was (9.10±3.35)d of the observation group，which were significantly less than (22.60±3.12)d，(692.10±60.30)mL and (15.50±4.10)d in control group，the differences were statistically significant(P<0.05).The hemostasis total effective rate of the observation group was 90.00%，which was significantly higher than 64.00% of the control group，the difference was statistically significant(P<0.05).Conclusion：Uterine pressure suture for cesarean section in patients with intractable postpartum hemorrhage，can reduce the amount of lochia time，bleeding within 1 day，hospitalization time，hemostatic effect is good，it has high clinical application value.
【Key words】 Uterus； Netlike compression suture； Intractable postpartum hemorrhage； Application value
First-author’s address：Maternal and Child Health Hospital of Jiangxi Province，Nanchang 330046，China
doi：10.3969/j.issn.1674-4985.2017.12.002
剖宮产手术目前在临床上较为常见，剖宫产术常常会给女性的身体带来严重的伤害，女性行剖宫产术后常常会有一些并发症发生，例如难治性产后出血。产后出血一般指产后2 h内顺产出血超过500 mL，剖宫产超过1000 mL的产妇。产后出血常常给产妇带来很大的伤害，在止血中甚至需要切除子宫，产妇身体和心灵都受到很大的影响，采用良好的缝合方法可对产后出血进行控制[1-3]。目前，子宫网压缝合术开始在难治性产后出血的临床治疗中使用，并取得了颇为显著的效果，成为一种安全、有效的治疗方法。本研究选取2016年1-12月入院的100例剖宫产产妇作为研究对象，探究对难治性产后出血的剖宫产产妇采用子宫网压缝合术的应用价值，现报告如下。, 百拇医药(梁正仪)