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目的观察与研究子宫网压缝合在难治性产后出血患者中的疗效及对创伤应激状态的影响情况。方法选取2014年1月-2016年7月收治的60例难治性产后出血患者为研究对象,将其随机分为对照组(B-Lynch缝合术组)30例和观察组(子宫网压缝合术组)30例,然后将两组患者的术中、术后2 h及24 h出血量、不同时间的宫缩强度及创伤应激指标进行分别统计及比较。结果观察组术中、术后2 h及24 h出血量均小于对照组,术后不同时间的宫缩程度均好于对照组,创伤应激指标均低于对照组,P值均<0.05,两组间均有统计学差异。结论子宫网压缝合在难治性产后出血患者中的临床疗效较好,且可更为有效地控制患者的创伤应激状态,因此认为子宫网压缝合术在难治性产后出血患者中的应用价值较高。
Objective To observe and study the efficacy of uterine mesh suture in patients with intractable postpartum hemorrhage and the impact on stress state of trauma. Methods Sixty patients with refractory postpartum hemorrhage admitted from January 2014 to July 2016 were selected and randomly divided into control group (B-Lynch suture group) and observation group (30 cases) Group) .30 cases were divided into two groups. The intraoperative and postoperative bleeding volume at 2 h and 24 h, the contractile strength at different time and the indexes of traumatic stress were compared and statistically analyzed. Results The intraoperative and postoperative bleeding volumes at 2 h and 24 h after operation were both lower in the observation group than in the control group. The degree of uterine contractions during the postoperative period were better than those in the control group, and the traumatic stress indexes were lower than those in the control group (P <0.05) There was statistical difference between the two groups. Conclusion Uterine pressure suture in refractory postpartum hemorrhage patients with better clinical efficacy, and more effective in controlling the patient’s traumatic stress state, so that the uterine network suture in patients with refractory postpartum hemorrhage High value.