方块形缝合治疗剖宫产后出血的效果及对患者预后的影响.pdf
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1、Patients(监床研究)论著.1409.临床医学1程2 0 2 3年10 月第30 卷第10 期方块形缝合治疗剖宫产后出血的效果及对患者预后的影响马艳培,高湘玲,王敏(濮阳市人民医院产科,河南濮阳457 0 0 0)【摘要】目的探讨方块形缝合治疗剖宫产后出血的效果及对患者预后的影响。方法12 0 例剖宫产后出血患者随机分为两组各6 0 例,对照组采用纱布填塞止血,观察组采用方块形缝合止血,比较两组的止血效果及预后。结果观察组的止血总有效率为96.67%,高于对照组的8 3.33%(P0.05)。观察组的手术时间短于对照组,术中出血量、产后2 4h总出血量均低于对照组(P0.05)。观察组的
2、术后宫腔及切口感染发生率低于对照组,产后恶露排出率高于对照组(P0.05)。结论方块形缝合治疗剖宫产后出血的效果较好,可减少术中及产后出血量,降低并发症发生率,促进产妇恢复。【关键词】方块形缝合;剖宫产;出血中图分类号:R714.46+1文献标识码:Adoi:10.3969/j.issn.1674-4659.2023.10.1409Effect of Block Suture in the Treatment of Hemorrhage After Cesarean Section and Its Impact on the Prognosis ofMA Yanpei,GAO Xianglin
3、g,WANG Min(L(Department of Obstetrics,Puyang People s Hospital,Puyang 457000,China)AbstractObjective To explore the effect of block suture in the treatment of hemorrhage after cesarean section and its impact on theprognosis of patients.Methods 120 patients with hemorrhage after cesarean section were
4、 randomly divided into two groups,with 60 casesin each group.The control group was treated with gauze packing for hemostasis,and the observation group was treated with block suture forhemostasis.The hemostatic effect and prognosis were compared between the two groups.Results The total effective rate
5、 of hemostasis inthe observation group was 96.67%,higher than 83.33%in the control group(P0.05).The operation time in the observation group wasshorter than that in the control group,and the intraoperative blood loss amount and total blood loss amount within 24 h after delivery werelower than those i
6、n the control group(P0.05).The incidence of postoperative uterine cavity and incision infection in the observation groupwas lower than that in the control group,and the rate of postpartum lochia discharge was higher than that in the control group(P 10 0 0 mL;在本院建立档案并规律产检;常规止血效果不佳。排除标准:存在凝血功能障碍;严重肝肾功
7、能不全;患有严重感染。按照抽签法随机分为收稿日期:2 0 2 3-0 5-0 9修回日期:2 0 2 3-0 7-31作者简介:马艳培(19 8 6-),女,河南省南乐县人,硕士研究生学历,主治医师,研究方向:妇产科。观察组与对照组,各6 0 例。观察组年龄2 138(2 8.9 41.79)岁,孕周37 41(38.47 1.59)周,体质量指数2 2 28(2 6.39 2.2 4)k g/m;出血原因:前置胎盘2 3例,宫缩乏力17 例,胎盘剥离面渗血2 0 例;产妇情况:初产妇2 6 例,经产妇34例。对照组年龄2 2 40(2 9.12 1.9 5)岁,孕周3641(37.9 41.
8、8 6)周,体质量指数2 3 2 7(2 6.412.10)kg/m;出血原因:前置胎盘17 例,宫缩乏力2 1例,胎盘剥离面渗血2 2 例;产妇情况:初产妇2 5例,经产妇35例。两组的年龄(t=0.526,P=0.59 9)、孕周(t=1.677,P=0.096)、体质量指数(t=0.051,P=0.9 6 0)、出血原因(x=1.416,P=0.49 3)、产妇情况(x=0.034,P=0.8 53)比较,差异无统计学意义(P0.05)。1.2治疗方法对照组采用常规止血治疗:胎盘剥离后将子宫体移出腹部切口,注射缩宫素(2 0 U),碘伏浸透纱布并挤干,纱布一端以“Z”形排列填塞宫腔至子宫
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- 方块 缝合 治疗 剖宫产 出血 效果 患者 预后 影响