Analysis of the Therapeutic Effect of Uterine Artery Ascending Branch Ligation in Preventing Postpartum Hemorrhage after Cesarean Section in Primary Hospitals
Objective:To explore the efficacy of uterine artery ascending branch ligation in preventing postpartum hemorrhage after cesarean section in grassroots hospitals.Methods:A total of 80 patients who underwent cesarean section with intraoperative bleeding and had risk factors for postpartum hemorrhage,treated at Shouning Hospital in Ningde City from November 2022 to February 2024,were selected for the study.Based on different preventive intervention measures,the patients were divided into two groups:the Carboprost group(control group,n=40)and the uterine artery ascending branch ligation group(study group,n=40),the effects were compared.Results:There were no differences in operative time and length of hospital stay between the two groups(P＞0.05).Preoperative hemoglobin and hematocrit levels were also comparable between the two groups(P＞0.05).However,at 24 hours postop-eratively,the hemoglobin and hematocrit levels in the study group were significantly higher(P＜0.05).Compared to the control group,the intraoperative blood loss,as well as the blood loss at 2 hours and 24 hours postoperatively,were all lower in the study group(P＜0.05).Additionally,the time to the first menstrual recovery after surgery was shorter in the study group compared to the control group(P＜0.05).Furthermore,the rate of good uterine involution in the study group was higher than that in the control group(P＜0.05).Conclusion:Compared to the prophylactic use of Carbetocin for preventing postpartum hemorrhage in cesarean sections in grassroots hospitals,uterine artery ascending branch ligation can more effectively reduce intraoperative and postoperative bleeding,improve he-moglobin and hematocrit levels,and shorten the time to the first menstrual recovery after surgery,thereby facilitating better uterine in-volution postoperatively.This procedure has significant clinical value.
Cesarean sectionPostpartum bleedingLigation of the ascending branch of the uterine arteryHemoglobinMenstrual recovery time
万方数据
维普
