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目的:观察缩宫素联合B-Lynch缝扎术治疗产后出血的临床效果和安全性。方法:将2011年7月至2012年9月在我院接受治疗的120例患者随机分成两组,对照组接受传统综合治疗,治疗组接受缩宫素联合B-Lynch缝扎术治疗,比较两组术中、术后12h以及术后24h出血量、输血人数、住院天数,子宫切除人数;比较两组术后并发症,同时观察两组患者术后血清性激素水平,了解不同术式对卵巢功能的影响。结果:治疗组术中、术后12h以及术后24h出血量均少于对照组,差异有显著性(p<0.05);治疗组和对照组输血人数、住院天数,子宫切除人数相比,无统计学差异(P>0.05);治疗组受试者严重贫血、术后发热、产后出血的人数少于对照组,差异有统计学意义(P<0.05);两组刀口愈合不良人数差异无显著性(P>0.05);两组患者术后血清性激素水平相比较无统计学差异(P>0.05)。结论:缩宫素联合B-Lynch缝扎术治疗产后出血安全可靠,疗效确切。
Objective: To observe the clinical effect and safety of oxytocin combined with B-Lynch suture in the treatment of postpartum hemorrhage. Methods: From July 2011 to September 2012 in our hospital for treatment of 120 patients were randomly divided into two groups, the control group received the traditional comprehensive treatment, the treatment group received oxytocin combined with B-Lynch suture treatment, the two The intraoperative, postoperative 12h and 24h postoperative blood loss, blood transfusion, hospitalization days, the number of hysterectomies; comparisons of postoperative complications between the two groups, while observing the serum levels of serum sex hormones in two groups of patients to understand the different surgical procedures on ovarian function Impact. Results: The intraoperative, postoperative 12h and 24h postoperative bleeding were less than the control group, the difference was significant (p <0.05); treatment group and control group number of transfusions, hospital days, the number of hysterectomies, no (P> 0.05). The subjects in the treatment group had severe anemia, postoperative fever and postpartum hemorrhage were less than those in the control group (P <0.05). There was no significant difference in the number of poor healing between the two groups (P> 0.05). There was no significant difference in postoperative serum sex hormone levels between the two groups (P> 0.05). Conclusion: Oxytocin combined with B-Lynch suture for postpartum hemorrhage is safe and effective.