Objective To explore the clinical effect of improved B-Lynch uterine suture for uterine atony postpartum haemorrhage in cesarean delivery.Methods A total of 98 patients with uterine atony postpartum haemorrhage in cesarean delivery were randomly divided into control group (n =49) and observation group (n =49).Both groups received conventional treatment of uterus massage and intravenous injection of oxytocin.Then the control group and observation group received traditional B-Lynch uterine suture and improved B-Lynch uterine suture,respectively.The clinical effect of hemostasis and post-operative complications were observed and analyzed.Results The differences of the rates of postpartum haemorrhage,and postpartum bleeding 2 hours and 24 hours after surgery in both groups were not statistically different (P ＞0.05).The amount of lochia in the observation group was significantly reduced,compared with the control group (P ＜ 0.05).The incidence rates of postoperative abdominal pain,intestinal adhesion,puerperalism of the observation group were all significantly lower than those of the control group (P ＜ 0.05).Conclusion Improved B-Lynch uterine suture is effective and safe in the treatment of uterine atony postpartum haemorrhage in cesarean delivery,and it can reduce postpartum haemorrhage and the incidence of postoperative complications.%目的 探讨改良B-Lynch缝合术治疗剖宫产术宫缩乏力性产后出血的临床疗效.方法 将98例剖宫产术宫缩乏力性产后出血患者随机分为观察组和对照组,每组49例.2组在给予按摩子宫、静脉注射缩宫素等常规处理后,分别采用传统B-lynch缝合术和改良B-lynch缝合术.比较2组患者止血疗效及术后并发症等情况.结果 2组患者产后出血率,产后2、24 h出血量比较,差异均无统计学意义(P＞0.05);观察组术后恶露量显著少于对照组(P＜0.05);观察组术后腹痛、肠粘连及产褥病的发生率显著低于对照组(P＜0.05).结论 改良B-lynch缝合术治疗剖宫产术宫缩乏力性产后出血安全有效,可有效降低产后出血的发生,减少并发症的发生率.
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