【摘要】 目的 探讨T型橡胶引流管捆绑子宫下段联合多种子宫缝扎术在产后出血高危剖宫产术中的临床应用效果。方法 回顾性选取2020年1月—2023年5月湘潭市妇幼保健院产科收治的有产后出血高危因素并行剖宫产手术的64例产妇的临床资料。根据止血方式的不同，分为对照组和观察组，各32例。对照组采取常规止血处理，观察组采取T型橡胶引流管捆绑子宫下段联合多种子宫缝扎术处理。比较两组的止血效果、手术时间、止血时间、产后出血量、术后住院时间及并发症发生情况。结果 观察组止血总有效率为96.87%，高于对照组的81.25%，差异有统计学意义（χ~2=4.010,P<0.05）；观察组手术时间、止血时间、术后住院时间均短于对照组，产后出血量低于对照组，差异有统计学意义（P均<0.05）；观察组输血率和输血量均低于对照组，差异有统计学意义（P均<0.05）；观察组并发症发生率低于对照组，差异有统计学意义（P<0.05）。结论 T型橡胶引流管捆绑子宫下段联合多种子宫缝扎术能够提高产后出血高危剖宫产术中止血效果，降低近远期并发症风险。更多还原

【Abstract】 Objective To investigate the clinical application effect of T-type rubber drainage tube binding the lower segment of uterus combined with multiple uterine suture in high-risk postpartum hemorrhage cesarean section.Methods The clinical data of 64 puerpera with high risk factors for postpartum hemorrhage and undergoing cesarean section admitted to the Obstetrics Department of Xiangtan Maternal and Child Health Hospital from January 2020 to May 2023 were retrospectively selected.According to the different ways of hemostasis,they were divided into control group and observation group,each with 32 cases.The control group was treated with conventional hemostasis,and the observation group was treated with T-type rubber drainage tube binding the lower uterine segment combined with multiple uterine sutures.The hemostatic effect,operation time,hemostasis time,postpartum hemorrhage,postoperative hospitalization time and the incidence of complications were compared between the two groups.Results The total effective rate of hemostasis in the observation group was 96.87%,which was higher than 81.25% in the control group,and the difference was statistically significant (χ~2=4.010,P<0.05);the operation time,hemostasis time,and postoperative hospitalization time of the observation group were shorter than those of the control group,and the amount of postpartum hemorrhage was lower than that of the control group,and the differences were statistically significant (all P<0.05);the rate of blood transfusion and the amount of transfusion of the observation group were lower than that of the control group,and the differences were statistically significant (both P<0.05);the incidence of complications in the observation group were lower than that in the control group,and the difference was statistically significant (P<0.05).Conclusion T-type rubber drainage tube binding the lower portion of the uterus combined with multiple uterine suture can improve the hemostatic effect in high-risk postpartum hemorrhage cesarean section and reduce the risk of near and long term complications.更多还原