目的探讨子宫体双侧弓形动脉缝扎术与垂体后叶素联合应用控制对剖宫产术中子宫收缩乏力性产后出血的影响。方法剖宫产术中子宫收缩乏力性产后出血患者87例,依据随机分配原则分为药物组、止血术组和止血术+垂体组,各29例。所有患者均给予常规止血、营养等综合治疗;在此基础上,药物组患者给予单纯药物治疗;止血术组患者给予单纯子宫体双侧弓形动脉缝扎术治疗;止血术+垂体组患者给予垂体后叶素联合子宫体双侧弓形动脉缝扎术治疗,统计分析所有患者治疗出血量、手术时间、即刻止血和疗效情况。结果药物组患者出血量、手术时间明显高于止血组,止血组患者出血量、手术时间明显高于止血术+垂体组,差异有统计学意义(P<0.05);药物组患者即刻止血率明显低于止血组,止血组即刻止血率明显低于止血术+垂体组,差异有统计学意义(P<0.05);药物组总有效率明显低于止血术组,止血术组明显低于止血术+垂体组,差异有统计学意义(P<0.05)。结论子宫体双侧弓形动脉缝扎术与垂体后叶素联合应用可有效降低患者手术时间和出血量,提高患者止血质量和效果,有助于患者的康复,值得临床作进一步推广。 Objective To investigate the effect of bilateral uterine arch sutures combined with vasopressin on uterine contraction and postpartum hemorrhage in cesarean section. Methods 87 cases of postpartum hemorrhage with uterine atony in cesarean section were divided into medication group, hemostasis group and hemostasis + pituitary group according to the principle of random distribution. All patients were given conventional hemostasis, nutrition and other comprehensive treatment; on this basis, patients in the drug group were given simple drug therapy; patients in the hemostasis group were treated with bilateral uterine artery suture of bilateral armpit; hemostasis + pituitary group were given pituitary Vasopressin joint uterine bilateral arcuate suture treatment, statistical analysis of all patients treated bleeding, surgery time, immediate bleeding and efficacy. Results The amount of bleeding and the operation time in the drug group were significantly higher than those in the hemostasis group. The bleeding volume and operation time in the hemostasis group were significantly higher than those in the hemostasis and pituitary group (P <0.05). The immediate hemostasis rate in the drug group was significantly The hemostatic rate of hemostasis group was significantly lower than that of hemostasis + pituitary group (P <0.05), and the total effective rate of drug group was significantly lower than that of hemostasis group, and hemostasis group was significantly lower than that of hemostasis + Pituitary group, the difference was statistically significant (P <0.05). Conclusion Uterine bilateral arcuate suture and vasopressin joint application can effectively reduce the operation time and bleeding, improve hemostatic quality and effectiveness of patients, is helpful to the recovery of patients, it is worth further clinical promotion.