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目的：观察缩宫素联合B-Lynch 缝扎术治疗产后出血的临床效果和安全性。方法：将2011 年7 月至2012 年9 月在我院接受治疗的120 例患者随机分成两组，对照组接受传统综合治疗，治疗组接受缩宫素联合B-Lynch 缝扎术治疗，比较两组术中、术后12h 以及术后24h出血量、输血人数、住院天数，子宫切除人数；比较两组术后并发症，同时观察两组患者术后血清性激素水平，了解不同术式对卵巢功能的影响。结果：治疗组术中、术后12h 以及术后24h出血量均少于对照组，差异有显著性(p<0.05)；治疗组和对照组输血人数、住院天数，子宫切除人数相比，无统计学差异(P>0.05)；治疗组受试者严重贫血、术后发热、产后出血的人数少于对照组，差异有统计学意义(P<0.05)；两组刀口愈合不良人数差异无显著性(P>0.05)；两组患者术后血清性激素水平相比较无统计学差异(P>0.05)。结论：缩宫素联合B-Lynch 缝扎术治疗产后出血安全可靠，疗效确切。

英文摘要:

Objective:To explore the clinical effect and safety of pitocin combined with B-Lynch suture in treating postpartum hemorrhage.Methods:120 patients treated in our hospital between July 2011 and September 2012 were divided randomly into treating group and control group. The control group was treated with traditional comprehensive treatment, while the treating group was treated with pitocin combined with B-Lynch suture. Compared the amount of bleeding, transfusion, hospital stays and uterectomy between two groups; And compared the complication after operation and observe the serum sexual hormone levels post-surgery 12 months to know the influence of different operative methods on ovarian function.Results:The amount of bleeding during surgery, post-surgery 12h, post-surgery 24h were less in treating group than that in control group, and the difference was of statistical significance (P<0.05). There was no statistical meaning to compare the transfusion, hospital stays and numbers of uterectomy between two groups (P>0.05). There were less patients with severe anemia, ostoperative pyrexia, or bleeding in treating group than in control group (P<0.05). Yet there was no statistical difference in bad cicatrization cases and serum sexual hormone levels between two groups (P>0.05).Conclusion:Pitocin combined with B-Lynch was effective and convincing in the treatment of postpartumhemorrhage.

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