Hayman子宫压迫缝合术联合欣母沛治疗前置胎盘剖宫产产后出血的临床疗效观察

doi:10.3969/j.issn.1671-7171.2025.11.032

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摘要 【目的】探讨Hayman子宫压迫缝合术联合欣母沛治疗前置胎盘剖宫产产后出血患者的临床疗效。【方法】选取2023年2月至2025年2月本院收治的76例前置胎盘剖宫产产后出血患者,按照治疗方法不同分为对照组和观察组,对照组予以Hayman子宫压迫缝合术治疗,观察组予以Hayman子宫压迫缝合术联合欣母沛治疗。比较两组手术相关指标、临床疗效、不同时间点的出血量、凝血功能指标[凝血酶原时间(PT)、凝血酶时间(TT)、活化部分凝血活酶时间(APTT)]、不良事件发生情况。【结果】观察组止血时间、住院时间短于对照组(P<0.05);观察组治疗总有效率高于对照组(P<0.05);观察组术中、术后2 h、术后24 h出血量均少于对照组(P<0.05);术后24 h,观察组PT、TT、APTT短于对照组(P<0.05);两组不良事件总发生率比较,差异无统计学意义(P>0.05)。【结论】Hayman子宫压迫缝合术联合欣母沛可有效控制前置胎盘剖宫产产后出血患者的术后出血量,改善凝血功能指标,促进术后恢复,且安全性良好。

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	叶新红

关键词 ：前置胎盘, 剖宫产术, 出血, 止血技术, 缝合技术, 治疗结果

Abstract：【Objective】To explore the clinical efficacy of Hayman uterine compression suture combined with Hemabate in the treatment of postpartum hemorrhage after cesarean section for placenta previa. 【Methods】A total of 76 patients with postpartum hemorrhage after cesarean section for placenta previa admitted to our hospital from February 2023 to February 2025 were selected. According to different treatment methods, they were divided into the control group and the observation group. The control group was treated with Hayman uterine compression suture, while the observation group was treated with Hayman uterine compression suture combined with Hemabate. Surgical-related indicators, clinical efficacy, blood loss at different time points, coagulation function indexes [prothrombin time (PT), thrombin time (TT), activated partial thromboplastin time (APTT)], and occurrence of adverse events were compared between the two groups. 【Results】The hemostasis time and hospital stay of the observation group were shorter than those of the control group (P<0.05); the total effective rate of treatment in the observation group was higher than that in the control group (P<0.05); the intraoperative blood loss, blood loss at 2 h and 24 h after surgery in the observation group were less than those in the control group (P<0.05); at 24 h after surgery, PT, TT and APTT in the observation group were shorter than those in the control group (P<0.05); there was no statistically significant difference in the total incidence of adverse events between the two groups (P>0.05). 【Conclusion】Hayman uterine compression suture combined with Hemabate can effectively control the postoperative blood loss of patients with postpartum hemorrhage after cesarean section for placenta previa, improve coagulation function indexes, promote postoperative recovery, and has good safety.

Key words： Placenta Previa Cesarean Section Hemorrhage Hemostatic Techniques Suture Techniques Treatment Outcome

收稿日期: 2025-07-08

中图分类号:

R719.8

引用本文:

叶新红. Hayman子宫压迫缝合术联合欣母沛治疗前置胎盘剖宫产产后出血的临床疗效观察[J]. 医学临床研究, 2025, 42(11): 1955-1958.
YE Xinhong. Clinical Efficacy of Hayman Uterine Compression Suture Combined with Hemabate in the Treatment of Postpartum Hemorrhage after Cesarean Section for Placenta Previa. JOURNAL OF CLINICAL RESEARCH, 2025, 42(11): 1955-1958.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2025.11.032 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2025/V42/I11/1955

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