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目的:探讨宫腔填塞纱条术及子宫B-Lynch缝合术两种不同止血方案在剖宫产术中的应用。方法:选取2014年10月至2016年10月广东省揭阳市产业园霖磐镇卫生院妇产科收治的70例行剖宫产手术并发术中出血的产妇为研究对象。随机分为研究组和对照组,每组35例。研究组患者采用宫腔填塞纱条术止血,对照组采取子宫B-Lynch缝合术止血。比较两组患者术中出血量、手术时间及预后效果。结果:研究组患者术中出血量及手术时间显著少于对照组,差异有统计学意义(P<0.05)。研究组患者预后不良率(14.29%)显著低于对照组(42.86%),差异具有统计学意义(P<0.05)。结论:采用宫腔填塞纱条术可有效减少剖宫产术中出血量,缩短手术时间,提高剖宫产预后效果,显著降低剖宫产风险。
Objective: To investigate the application of two kinds of different hemostasis protocols including intrauterine packing gauze and uterus B-Lynch suture in cesarean section. Methods: From October 2014 to October 2016, 70 maternal women undergoing cesarean section with intraoperative hemorrhage admitted to the Department of Obstetrics and Gynecology, Linyi Hospital, Jieyang Industrial Park, Guangdong Province were selected as the research objects. Randomly divided into study group and control group, 35 cases in each group. Patients in the study group received intrauterine packing gauze to stop bleeding, while those in the control group received a uterus B-Lynch suture to stop bleeding. The blood loss, operation time and prognosis of the two groups were compared. Results: The bleeding volume and operation time of study group were significantly less than those of control group, the difference was statistically significant (P <0.05). The poor prognosis of the study group (14.29%) was significantly lower than that of the control group (42.86%), the difference was statistically significant (P <0.05). Conclusion: The intrauterine plug gauze can effectively reduce the amount of bleeding during cesarean section, shorten the operation time, improve the prognosis of cesarean section and significantly reduce the risk of cesarean section.