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目的探讨B-Lynch缝合术治疗剖宫产产后出血的临床疗效及术后出血量变化。方法选取2014年1月至2016年12月于抚顺矿务局总医院行剖宫产产后出血的70例产妇,随机分为观察组与对照组,各35例。观察组产妇采用B-Lynch缝合术,对照组产妇采用常规8字缝合法并进行宫腔内纱条填塞,比较两组产妇止血时间、出血量、恶露干净时间、月经来潮时间、术后血红蛋白及不良反应发生情况。结果观察组产妇止血时间明显短于对照组,术中出血量和术后24 h出血量均明显少于对照组,差异均有统计学意义(均P<0.05);观察组产妇恶露干净时间、月经来潮时间均明显短于对照组,且术后血红蛋白水平显著高于对照组,差异均有统计学意义(均P<0.05);观察组产妇不良反应发生率为11.4%,明显低于对照组的34.3%,差异有统计学意义(P<0.05)。结论对剖宫产产后出血者实施B-Lynch缝合术疗效确切、操作简便,止血时间短,出血量少,患者术后恢复快,不良反应少。
Objective To investigate the clinical efficacy and postoperative bleeding of B-Lynch suture in treating cesarean section postpartum hemorrhage. Methods Seventy pregnant women with postpartum hemorrhage after cesarean section at General Hospital of Fushun Mining Bureau from January 2014 to December 2016 were randomly divided into observation group and control group with 35 cases in each group. The observation group maternal B-Lynch suture, the control group of maternal 8-suture method and intrauterine sliver packing, bleeding time, bleeding, lochia clean time, menstrual cramps, postoperative hemoglobin and Adverse reactions occurred. Results The bleeding time in the observation group was significantly shorter than that in the control group. The amount of bleeding during operation and the amount of bleeding at 24 hours after operation were significantly lower than those in the control group (all P <0.05) Menstrual cramps time were significantly shorter than the control group, and postoperative hemoglobin levels were significantly higher than the control group, the difference was statistically significant (all P <0.05); observation group maternal adverse reaction rate was 11.4%, significantly lower than the control group Of 34.3%, the difference was statistically significant (P <0.05). Conclusion B-Lynch suture is effective in cesarean section postpartum hemorrhage. It has the advantages of simple operation, short hemostasis time, less bleeding, quick recovery after operation and less adverse reactions.