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对接受剖宫产术的产妇进行B-Lynch缝合术对预防其产后出血的效果 预览

Effect of B-Lynch suture on prevention of postpartum hemorrhage in women undergoing cesarean section
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摘要 目的:探讨对接受剖宫产术的产妇进行B-Lynch缝合术对预防其产后出血的效果。方法:选取2017年3月至2018年11月期间四川省平昌县人民医院收治的68例接受剖宫产术的产妇作为研究对象。将这些产妇随机分为参照组和观察组,每组各34例产妇。对两组产妇均进行剖宫产术。术中,对两组产妇均采用缩宫素进行治疗,并对其进行子宫按摩。在此基础上,对观察组产妇进行B-Lynch缝合术。然后,比较两组产妇术中的出血量、产后的出血量、手术的时间、总输血量及在术后第24h其血红蛋白的水平。结果:观察组产妇术中的出血量、产后的出血量及总输血量均少于参照组产妇,其手术的时间短于参照组产妇,其在术后第24h血红蛋白的水平高于参照组产妇(P<0.05)。结论:对接受剖宫产术的产妇进行B-Lynch缝合术的效果显著,可减少其术中的出血量及产后的出血量,缩短其手术的时间,促进其康复。 objective:to investigate the effect of b-lynch suture on preventing postpartum hemorrhage in parturients undergoing cesarean section.Methods:68 cases of puerpera receiving cesarean section in pingchang county people’s hospital of sichuan province from March 2017 to November 2018 were selected as research objects.These parturients were randomly divided into control group and observation group,with 34 parturients in each group.Cesarean section was performed in both groups.During the operation,the two groups of parturients were treated with oxytocin and their uterus was massaged.On this basis,B-Lynch suture was performed in the observation group.Then,the blood loss,postpartum blood loss,operation time,total blood transfusion and hemoglobin level at 24 h after operation were compared between the two groups.Results:the observation group had less intraoperative blood loss,postpartum blood loss and total blood transfusion than the control group,the operation time was shorter than the control group,and the hemoglobin level on the 24th h after the operation was higher than the control group(P<0.05).Conclusion:b-lynch suture has a significant effect on women undergoing cesarean section,which can reduce intraoperative and postpartum blood loss,shorten the operation time and promote their recovery.
作者 杜琼 Du qiong(pingchang people’s hospital,pingchang Sichuan 636400)
出处 《当代医药论丛》 2019年第13期21-22,共2页 Contemporary Medical Symposium
关键词 B-LYNCH缝合术 剖宫产术 术中的出血量 产后的出血量 产妇 b-lynch suture Cesarean section Intraoperative blood loss Postpartum blood loss maternal
作者简介 杜琼(1973-),主治医师,本科
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