Abstract：Objective To analyze the value of ligation of descending branch of uterine artery in patients with postpartum hemorrhage caused by uterine atony. Methods A total of 80 patients with postpartum hemorrhage caused by uterine atony admitted to the Department of Obstetrics and Gynecology of Hainan Western Central Hospital from January 2020 to August 2021 were selected as the research objects, and they were divided into the control group and the observation group by random number table method, with 40 cases in each group. The control group was treated with misoprostol, and the observation group was treated with ligation of the descending branch of the uterine artery on the basis of the control group. The total effective rate, total incidence of adverse reactions and clinical indicators were compared between the two groups. Results The total effective rate of the observation group was higher than that of the control group, and the difference was statistically significant (P＜0.05). The total incidence of adverse reactions in the observation group was lower than that of the control group, and the difference was statistically significant (P＜0.05). The blood loss of observation group was less than those of control group 2 and 24 h after delivery, and 6-keto-PGF1α were lower than those in the control group and the corrected hemoglobin value PGE2 and PGF2α were higher than those in the control group and the differences were statistically significant (P＜0.05). Conclusion The application of ligation of descending branch of uterine artery in the treatment of postpartum hemorrhage caused by uterine atony can improve the therapeutic effect and safety，and also reduce the overall blood loss，which is worthy of clinical application.
符叶. 子宫动脉下行支结扎对宫缩乏力性产后出血的治疗效果及安全性[J]. 中国当代医药, 2022, 29(24): 80-83.
FU Ye. Therapeutic effect and safety of ligation of the descending branch of uterine artery on postpartum hemorrhage caused by uterine asthenia. 中国当代医药, 2022, 29(24): 80-83.
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