剖宫产术中产后出血子宫背带式缝合术治疗的效果

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目的:分析子宫背带式缝合术应用在剖宫产术中术后出血的治疗结果。方法:选取2014年10月至2016年2月到重庆市涪陵区妇幼保健院就诊的60例剖宫产术孕妇,随机分为两组,对照组30例,采用传统纱布填塞进行治疗,观察组30例采用子宫背带式缝合术,比较两组患者治疗效果、治疗时间、治疗后24 h出血量及并发症发生情况。结果:观察组治疗显效18例,好转11例,治疗有效率为96.7%;对照组治疗显效12例,好转10例,治疗有效率为73.3%;两组治疗有效率比较,差异具有统计学意义(P<0.05)。观察组的治疗时间、治疗后24 h出血量及并发症的发生率均明显低于对照组,差异具有统计学意义(P<0.05)。结论:子宫背带式缝合术应用在剖宫产术中术后出血的治疗效果明确,可快速有效止血,减少出血量,手术时间短,术后并发症发生率低,可提高患者预后。 Objective: To analyze the results of treatment of postoperative bleeding in cesarean section by uterine suture strap suture. Methods: From October 2014 to February 2016, 60 pregnant women with cesarean section who visited the Maternity and Child Care Hospital of Fuling District of Chongqing were randomly divided into two groups, the control group of 30 cases, treated with traditional gauze packing, the observation group Thirty cases were treated with uterine suture strap suture. The therapeutic effect, the treatment time, the amount of hemorrhage 24 hours after treatment and the complication were compared between the two groups. Results: In the observation group, 18 cases were cured and 11 cases improved, the effective rate was 96.7%. In the control group, 12 cases were markedly improved and 10 cases improved. The effective rate was 73.3%. The difference between the two groups was statistically significant (P <0.05). The observation group’s treatment time, the amount of bleeding and complication after 24 hours of treatment were significantly lower than those of the control group, the difference was statistically significant (P <0.05). Conclusion: The application of uterine suture strap suture in cesarean section postoperative bleeding is clear, rapid and effective hemostasis, reduce blood loss, short operative time, low incidence of postoperative complications, can improve the prognosis of patients.
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