[1]李 征.改良B-Lynch缝合术联合断血流颗粒治疗剖宫产术后出血疗效观察[J].新乡医学院学报,2017,34(5):402-404.[doi:10.7683/xxyxyxb.2017.05.014]
 LI Zheng.Effect of the modified B-Lynch suture combined with Duanxueliu granule in the treatment of postoperative hemorrhage after cesarean section[J].Journal of Xinxiang Medical University,2017,34(5):402-404.[doi:10.7683/xxyxyxb.2017.05.014]
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改良B-Lynch缝合术联合断血流颗粒治疗剖宫产术后出血疗效观察
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
34
期数:
2017年5
页码:
402-404
栏目:
临床研究
出版日期:
2017-05-05

文章信息/Info

Title:
Effect of the modified B-Lynch suture combined with Duanxueliu granule in the treatment of postoperative hemorrhage after cesarean section
作者:
李 征
(西峡县妇幼保健院妇产科,河南 西峡 474500)
Author(s):
LI Zheng
(Department of Gynaecology and Obstetrics,Maternal and Child Health Hospital of Xixia County,Xixia 474500,Henan Province,China)
关键词:
改良B-Lynch缝合术断血流颗粒剖宫产术后出血
Keywords:
modified B-Lynch sutureDuanxueliu granulecesarean sectionpostoperative hemorrhage
分类号:
R719.8
DOI:
10.7683/xxyxyxb.2017.05.014
文献标志码:
A
摘要:
目的 探讨改良B-Lynch缝合术联合断血流颗粒治疗剖宫产术后出血的临床效果。方法 选取2015年1月至2016年1月西峡县妇幼保健院收治的剖宫产术后出血患者118例,根据治疗方法分为观察组和对照组,每组59例。观察组患者给予改良B-Lynch缝合术联合断血流颗粒治疗,对照组患者给予宫腔纱条填塞术治疗,对2组患者的手术时间、出血量、输血量、切口愈合时间、住院时间、止血效果及并发症发生率进行比较。结果 观察组患者的手术时间、切口愈合时间及住院时间显著短于对照组(P<0.05),术中出血量、术中24 h出血量和输血量显著少于对照组(P<0.05)。观察组和对照组患者止血成功率分别为86.44%(51/59)、66.10%(39/59),观察组患者止血成功率显著高于对照组(χ2=11.429,P<0.05)。观察组患者输血率和子宫切除率分别为55.93%(33/59)、6.78%(4/59),对照组患者输血率和子宫切除率分别为71.18%(42/59)、20.34%(12/59),观察组患者输血率和子宫切除率显著低于对照组(χ2=5.020、7.846,P<0.05)。观察组和对照组患者并发症发生率分别为18.64%(11/59)、67.79%(40/59),观察组患者并发症发生率显著低于对照组(χ2=49.221,P<0.05)。结论 采用改良B-Lynch缝合术联合断血流颗粒治疗剖宫产术后出血具有手术时间短、止血效果好、出血量少、恢复快、住院时间短及并发症发生率低等优势。
Abstract:
Objective To investigate the clinical effect of the modified B-Lynch suture combined with Duanxueliu granule in the treatment of postoperative hemorrhage after cesarean section.Methods A total of 118 patients with postoperative hemorrhage after cesarean section were selected from January 2015 to January 2016 in Maternal and Child Health Hospital of Xixia County.The patients were divided into observation group and control group according to the treatment method,59 cases in each group.The patients in the observation group were treated with modified B-Lynch suture combined with Duanxueliu granule,and the patients in the control group were treated with intrauterine gauze packing.The operation time,bleeding volume,blood transfusion volume,wound healing time,hospitalization time,hemostatic effect and the incidence of complications were compared between the two groups.Results The operation time,wound healing time and hospitalization time in the observation group were significantly shorter than those in the control group(P<0.05);the intra-operative bleeding volume,24 h postoperative bleeding volume and blood transfusion volume in the observation group were significantly less than those in the control group(P<0.05).The success rate of hemostasis in the observation group and the control group was 86.44%(51/59)and 66.10%(39/59)respectively,the success rate of hemostasis in the observation group was significantly higher than that in the control group(χ2=11.429,P<0.05).The rate of blood transfusion and the rate of hysterectomy in the observation group were 55.93%(33/59)and 6.78%(4/59)respectively,and they were 71.18%(42/59)and 20.34%(12/59)in the control group respectively,the rate of blood transfusion and the rate of hysterectomy in the observation group were significantly lower than those in the control group(χ2=5.020,7.846;P<0.05).The incidence of complications in the observation group and the control group was 18.64%(11/59)and 67.79%(40/59),the incidence of complications in the observation group was significantly lower than those in the control group(χ2=49.221,P<0.05).Conclusion The modified B-Lynch suture combined with Duanxueliu granule in the treatment of postoperative hemorrhage after cesarean section has the advantages of short operation time,good hemostatic effect,less bleeding,rapid recovery,short hospitalization time and lower complication rate.

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更新日期/Last Update: 2017-05-05