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目的:系统地研究在难治性宫缩乏力产后出血的治疗中应用改良式B-Lynch缝合术与欣母沛联合疗法的实际价值。方法:选取惠州市中心人民医院收治的40例难治性宫缩乏力产后出血患者进行分组研究,结合临床随机表法将其平均地列入观察组与对照组,对照组行常规治疗,观察组应用改良式B-Lynch缝合术与欣母沛的联合疗法,对比两组治疗有效率、术中出血量、输血量、止血时间、术后2 h及24 h的阴道流血量。结果:观察组的治疗有效率95.0%,对照组的治疗有效率80.0%,差异具有统计学意义(P<0.05);两组患者术中出血量、输血量、止血时间、术后2 h及24 h的阴道流血量比较,差异具有统计学意义(P<0.05)。结论:在难治性宫缩乏力产后出血的治疗中,改良式B-Lynch缝合术与欣母沛的联合疗法能够有效地提高治疗有效率,控制患者的出血情况。
OBJECTIVE: To systematically investigate the practical value of modified B-Lynch suture combined with Yanmian Pei in the treatment of postpartum hemorrhage refractory uterine inertia. Methods: Forty patients with refractory uterine atony postpartum hemorrhage treated in Huizhou Central People’s Hospital were divided into observation group and control group according to randomized clinical trial. The control group received routine treatment and observation group The combined treatment of modified B-Lynch suture and Xin-Pei-Pei was used to compare the treatment efficiency, intraoperative blood loss, blood transfusion, bleeding time, vaginal bleeding at 2 h and 24 h after operation. Results: The effective rate of treatment was 95.0% in the observation group and 80.0% in the control group, the difference was statistically significant (P <0.05). The blood loss, blood transfusion, bleeding time, 2 h and 24 h vaginal bleeding, the difference was statistically significant (P <0.05). Conclusion: In the treatment of intractable uterine atony postpartum hemorrhage, the combination of modified B-Lynch suture and Xinmaopei can effectively improve the treatment efficiency and control the bleeding of patients.