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目的探讨子宫背带式缝合术治疗剖宫产术中产后出血的临床效果。方法 108例行剖宫产的产妇作为研究对象,按照随机数字表法分为对照组和观察组,各54例。对照组给予常规方法止血,观察组给予子宫背带式缝合术止血,观察并比较两组手术相关指标及术后并发症发生情况。结果观察组手术时间较对照组显著缩短,术中出血量较对照组显著减少,差异有统计学意义(P<0.05);两组术后24 h阴道出血量比较差异无统计学意义(P>0.05)。观察组术后产褥感染、继发性贫血、痛经发生例数分别为2、0、1例,并发症发生率为5.56%,对照组分别为5、2、3例,并发症发生率为18.52%;两组术后并发症发生率比较差异有统计学意义(χ~2=4.286,P<0.05)。结论在剖宫产产妇中,采用子宫背带式缝合术可显著减少术中产后出血量和术后并发症发生率,缩短手术时间,促进产妇产后快速康复,值得推广。
Objective To investigate the clinical effect of uterine suture strap suture in the treatment of postpartum hemorrhage in cesarean section. Methods 108 cases of cesarean section of maternal as the research object, according to the random number table method was divided into control group and observation group, 54 cases each. The control group was given conventional method of hemostasis. The observation group was given uterus strap suture to stop bleeding. The operation related indexes and postoperative complications were observed and compared. Results The operation time of the observation group was significantly shorter than that of the control group, and the amount of bleeding during operation was significantly lower than that of the control group (P <0.05). There was no significant difference in the amount of vaginal bleeding between the two groups at 24 h after operation (P> 0.05). The incidence of postoperative puerperal infection, secondary anemia and dysmenorrhea in the observation group were 2,0 and 1 respectively, the complication rate was 5.56% in the observation group and 5,2,3 in the control group respectively. The incidence of complications was 18.52%. There was significant difference in the incidence of postoperative complications between the two groups (χ ~ 2 = 4.286, P <0.05). Conclusion In cesarean section, the use of uterine suture strap suture can significantly reduce postoperative bleeding and postoperative complications, shorten the operation time and promote the rapid postpartum recovery of pregnant women, worth promoting.