改良Hayman缝合术联合欣母沛在剖宫产术中宫缩乏力性产后出血中的应用效果

刘丽华; 顾红; 陈文玲; 潘凌云; 李苑

doi:10.11659/jjssx.09E022079

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改良Hayman缝合术联合欣母沛在剖宫产术中宫缩乏力性产后出血中的应用效果

临床研究 | 更新时间：2023-04-24

- 改良Hayman缝合术联合欣母沛在剖宫产术中宫缩乏力性产后出血中的应用效果
- Effect of modified Hayman suture combined with Hemabate in postpartum hemorrhage caused by uterine inertia in cesarean section
- 局解手术学杂志 2023年32卷第4期页码：350-353
- 作者机构：
  
  中国人民解放军联勤保障部队第908医院妇产科，江西南昌 330002
- 作者简介：
  
  李苑，E-mail：64695503@qq.com
- 基金信息：
  
  江西省卫生计生委科技计划(20185560)
- DOI：10.11659/jjssx.09E022079
  中图分类号： R714.46
- 纸质出版日期：2023-04-25，
  
  收稿日期：2022-09-15，
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刘丽华,顾红,陈文玲等.改良Hayman缝合术联合欣母沛在剖宫产术中宫缩乏力性产后出血中的应用效果[J].局解手术学杂志,2023,32(04):350-353.

LIU Li-hua,GU Hong,CHEN Wen-ling,et al.Effect of modified Hayman suture combined with Hemabate in postpartum hemorrhage caused by uterine inertia in cesarean section[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(04):350-353.
刘丽华,顾红,陈文玲等.改良Hayman缝合术联合欣母沛在剖宫产术中宫缩乏力性产后出血中的应用效果[J].局解手术学杂志,2023,32(04):350-353. DOI： 10.11659/jjssx.09E022079.

LIU Li-hua,GU Hong,CHEN Wen-ling,et al.Effect of modified Hayman suture combined with Hemabate in postpartum hemorrhage caused by uterine inertia in cesarean section[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(04):350-353. DOI： 10.11659/jjssx.09E022079.

摘要

目的

探究改良Hayman缝合术联合欣母沛在剖宫产术中宫缩乏力性产后出血（PPH）中的临床效果。

方法

选择本院收治的92例剖宫产术中宫缩乏力性PPH患者为研究对象，根据随机数字表法将患者分为观察组和对照组。对照组（46例）行B-Lynch缝合术联合欣母沛治疗，观察组（46例）行改良Hayman缝合术联合欣母沛治疗。对2组患者的总有效率、手术相关指标、并发症发生情况进行评价，评估2组患者手术前后血红蛋白（Hb）水平变化情况。

结果

观察组患者的总有效率高于对照组，差异有统计学意义（

0.05）。观察组的手术时间、术中出血量、术后24 h出血量短/少于对照组，输血率低于对照组

差异均有统计学意义（

0.05）。2组患者住院时间、月经复潮时间及并发症总发生率比较差异无统计学意义（

0.05）。2组患者术后Hb水平均低于术前，且观察组低于对照组，差异有统计学意义（

0.05）。重复测量分析显示，术后2 h、24 h出血量主体内效应及主体间效应比较，差异均有统计学意义（

0.05）。

结论

与B-Lynch缝合术相比，对剖宫产术中宫缩乏力性PPH患者实施改良Hayman缝合术联合欣母沛治疗后，患者的术中出血量和术后24 h出血量更少，手术时间更短，Hb明显降低，总有效率高，输血率低。

Abstract

Objective

To explore the clinical effect of modified Hayman suture combined with Hemabate in postpartum hemorrhage （PPH） caused by uterine inertia in cesarean section.

Methods

A total of 92 patients with PPH caused by uterine inertia in cesarean section admitted to our hospital were selected as the subjects，and they were divided into the observation group and the control group according to the random number table method.The control group （46 cases） underwent B-Lynch suture combined with Hemabate，and the observation group （46 cases） underwent modified Hayman suture combined with Hemabate.The total effective rate，surgery-related indicators and complications of the two groups were evaluated，and the changes of hemoglobin （Hb） levels of the two groups were evaluated before and after surgery.

Results

The total effective rate in the observation group was higher than that in the control group，with significant difference （

0.05）.The operation time，intraoperative bleeding and blood loss within postoperative 24 hours in the observation group were shorter/less than those in the control group，the blood transfusion rate in the observation group was lower than that in the control group，the differences were signficant（

0.05）.There was no signficant difference in the hospital stay，the time of re-establishment menstruation or the total incidence of complications between the two groups （

0.05）.After surgery，the Hb level in the two groups showed a significant reduction trend，the observation group was lower than the control group，and the differences were statistically significant （

0.05）.Repeated measurement analysis showed that there were siginficant differences in the intra-subject effects and inter-subject effects of blood loss within postoperative 2 hours and 24 hours （

0.05）.

Conclusion

Compared with B-Lynch suture，modified Hayman suture combined with Hemabate is more effective for PPH caused by uterine inertia in cesarean section，with less intraoperative bleeding and blood loss within postoperative 24 hours，shorter operation time，lower level of Hb and blood transfusion rate.

关键词

改良Hayman缝合术B-Lynch缝合术欣母沛剖宫产术宫缩乏力产后出血

Keywords

modified Hayman sutureB-Lynch sutureHemabatecesarean sectionuterine inertiapostpartum hemorrhage

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