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目的:研究子宫收缩乏力性产后出血患者的临床治疗方法和效果。方法:将本院收治的子宫收缩乏力性产后出血患者68例作为研究对象,随机分为两组。其中对照组采用药物治疗,观察组联合应用子宫缝合术。比较两组患者的治疗效果和不良反应。结果:观察组患者治疗24 h出血量少、子宫内膜厚度大、促卵泡激素(FSH)水平低,和对照组比较,差异具有统计学意义(P<0.05);患者治疗后潮热、疲乏、眩晕等症状积分均低于对照组,差异具有统计学意义(P<0.05)。观察组发热、寒战、感染、呼吸困难等不良反应发生率为14.7%,对照组为17.6%,组间比较,差异无统计学意义(P>0.05)。结论:子宫收缩乏力性产后出血行子宫缝合术效果确切,能够减少出血量、改善激素水平、促进症状恢复,且不良反应少。
Objective: To study the clinical treatment and effect of postpartum hemorrhage in patients with uterine atony. Methods: 68 cases of postpartum hemorrhage with uterine atony in our hospital were randomly divided into two groups. The control group was treated with drugs, the observation group combined with uterine suture. The therapeutic effects and adverse reactions of the two groups were compared. Results: In the observation group, the blood loss, endometrial thickness and follicle-stimulating hormone (FSH) were lower at 24 h after treatment, the difference was statistically significant (P <0.05) , Dizziness and other symptom scores were lower than the control group, the difference was statistically significant (P <0.05). In the observation group, the incidence of fever, chills, infection, dyspnea and other adverse reactions was 14.7% in the control group and 17.6% in the control group. There was no significant difference between the two groups (P> 0.05). Conclusion: Uterine atony postpartum hemorrhage has the exact effect of uterine suture, can reduce the amount of bleeding, improve hormone levels and promote the recovery of symptoms, and less adverse reactions.