剖宫产术中出血应用宫腔纱条填塞法止血的临床应用

The Application of Intrauterine Packing with Ribbon Gauze for Hemostasis in Puerperaes undergoing Caesarean Section

目的：探讨宫腔纱条填塞法用于剖宫产术中出血的临床应用效果。方法：共54例剖宫产手术出血患者,随机分为对照组和研究组,进行常规宫缩素注射后,仍有难以控制的宫腔内出血者,研究组立即行宫腔纱条填塞,并缝合子宫切口;对照组则继续给予子宫按摩、热盐水大纱块压迫、应用止血药物和米索前列醇注射,直至双侧子宫动脉结扎。结果：研究组术中出血300~700mL,平均580.5mL;对照组出血500~1500mL,800mL以上达12例,平均860.2mL,出血量明显高于研究组,有统计学意义,且术后恢复慢,住院时间延长。结论：宫腔纱条填塞处理剖宫产大出血止血迅速,见效快,可以为后续抢救争取时间,方法简便易行且无明显副作用,是一种具有实用价值的临床急救措施。

Objective：To discuss the clinical effect of intrauterine packing with ribbon gauze on caesarean patients with hemorrhage.Methods：A total of 54 consecutive puerperaes undergoing caesarean section with hemorrhage was randomly divided into control group and study group.Control group was treated with traditional hemostasis measure including uterus massage,hot saline gauze pressing,hemostatic application and bilateral uterine artery ligation.The ribbon gauze was put into uterine cavity to stop bleeding in study group.Results：The bleeding amount ranged from 300 to 700 mL with an average of 580.5 mL in study group,while the bleeding amount ranged from 500 to 1500 mL with an average of 860.2 mL in control group.There was significant difference in bleeding amount between the two groups.Conclusion：Intrauterine packing with ribbon gauze for hemostasis in puerperaes undergoing caesarean section can stop bleeding quickly so as to gain more time to save patients.The hemostasis measure is easy to practice and without side effect.Therefore,the application of intrauterine packing with ribbon gauze is beneficial to the recovery of the puerperal undergoing caesarean section with hemorrhage and is a valuable emergency medical treatment measure.