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目的 :观察欣母沛联合改良B-Lynch子宫缝合术防治剖宫产子宫收缩乏力性产后出血的临床效果。方法:以2014年3月~2015年6月在我院接受剖宫产手术发生子宫收缩乏力的患者为观察对象,并将其分为对照组和观察组。对照组给予改良B-Lynch子宫缝合术,观察组在此基础上加用欣母沛。观察两组患者手术一般情况,比较两组患者和新生儿血气指标的差异。结果 :观察组患者术中出血量和术后2h出血量明显低于对照组,而两组患者的手术时间无明显差别;手术前两组患者Hb、PLT和CVP水平无明显差别,手术后,两组患者的Hb和PLT水平均下降,但观察组高于对照组,观察组CVP较手术前无明显改变,对照组CVP较手术前明显降低,但仍在正常范围内;手术前后两组患者的SpO_2和P ETCO_2组间和组内比较均无明显差异;两组新生儿的PH、PaCO_2、PO_2等血气指标均无明显差别。结论 :欣母沛联合改良B-Lynch子宫缝合术对防治剖宫产子宫收缩乏力性产后出血具有较好的效果,可明显减少出血量,且对母儿影响小。
Objective: To observe the clinical effect of Xin-Pei combined with modified B-Lynch uterine suture in preventing postpartum hemorrhage of cesarean section with uterine atony. Methods: From March 2014 to June 2015, patients undergoing cesarean section with uterine atresia in our hospital were observed and divided into control group and observation group. The control group was given modified B-Lynch uterine suture, the observation group was added Xinmaopei on the basis of this. The general operation of the two groups was observed, and the differences of blood gas indexes between the two groups were compared. Results: The amount of bleeding during operation and the amount of bleeding at 2 hours after operation in the observation group were significantly lower than those in the control group. There was no significant difference in operation time between the two groups. The levels of Hb, PLT and CVP in the two groups before operation were not significantly different. After operation, The levels of Hb and PLT in both groups decreased, but the observation group was higher than the control group. The CVP in the observation group was not significantly changed before surgery, while the CVP in the control group was significantly lower than before surgery, but still within the normal range. Before and after the operation, Of SpO_2 and P ETCO_2 groups and within the group were no significant differences between the two groups of newborns PH, PaCO_2, PO_2 and other blood gas indicators were no significant difference. Conclusion: Xin-Pei combined with modified B-Lynch uterine suture on the prevention and treatment of cesarean uterine atony postpartum hemorrhage has a good effect, can significantly reduce the amount of bleeding, and the impact on the mother and child is small.