云南白药结合宫腔水囊压迫治疗产后出血的疗效分析

The Curative Effect Analysis of Yunnan Baiyao Combined with Uterine Cavity Water Sac Oppressing in Treatment of Postpartum Hemorrhage

目的:探讨应用云南白药结合宫腔水囊压迫治疗胎盘胎膜残留性产后出血的临床效果及优势。方法:将68例胎盘胎膜残留性产后出血患者随机分为对照组(单纯水囊组,n=32)和试验组(云南白药纱布垫+水囊组,n=36)。两组均行同式的宫腔水囊压迫操作,试验组加用云南白药20 g+生理盐水50 mL的液体浸润的无菌纱布垫,于水囊侧胎盘胎膜残留处贴敷。比较两组操作所需时间、止血显效时间、留置时间;24 h留置出血量,取出过程阴道出血量,取出后12、24 h阴道出血量;血性恶露持续时间、1周内残留物排出(<3 cm)及产褥病率。结果:两组操作所需时间比较差异无统计学意义(P>0.05)。而试验组止血显效时间为(217.83±22.56)s,留置时间为(13.34±1.25)h,24 h留置出血量为(880.21±12.53)mL,取出过程阴道出血量为(14.67±1.13)mL,取出后12、24 h阴道出血量分别为(8.05±1.46)mL、(3.27±0.21)mL,血性恶露持续时间为(7.82±0.96)d,1周内残留物排除(<3 cm)为(31.05±0.57),产褥病率为(33±2.0)%,与对照组比较差异均有统计学意义(P<0.01)。结论:应用云南白药结合宫腔水囊压迫治疗胎盘胎膜残留性产后出血的临床效果明显优势于单纯宫腔水囊压迫治疗,为临床治疗胎盘胎膜残留性产后出血提供了良好的策略。

Objective：To study clinical effect of Yunnan Baiyao combined with uterine cavity water sac compression in treatment of placental membranes postpartum hemorrhage.Method：68 cases of postpartum hemorrhage were selected and randomly divided into control group（pure water capsule group,n=32）and experimental group（Yunnan Baiyao gauze pad＋water sac,n=36）.The two groups were performed uterine cavity water sac compression with the type of operation,the experimental group were given sterile gauze pad of liquid infiltration of Yunnan Baiyao 20 g and saline 50 mL,which applied in residues of membranes beside water sac placenta.The operating time,hemostatic time, indwelling time,24 h indwelling bleeding amount,vaginal haemorrhage amount in taking out process and 12,24 h after taking out,lochia rubra duration,residue discharge within 1 weeks（〈3 cm）and puerperal disease rates of the two groups were compared.Result：There was no significant statistical differencein operation time between the two groups （P〉0.05）.In the experimental group ,the hemostatic time was（217.83±22.56）s,the indwelling time was（13.34±1.25）s, 24 h indwelling bleeding amount was（880.21±12.53）mL,vaginal haemorrhage amount in taking out process and 12, 24 h after taking out were（14.67±1.13）mL,（8.05±1.46）mL,（3.27±0.21）mL,respectively,lochia rubra duration was（7.82±0.96）d,residue discharge within 1 weeks was（27.43±0.57）,and rate of puerperal disease（33±2.0）%, there were significant statistical difference compared with the control group（P〈0.01）.Conclusion：The clinical effect of Yunnan Baiyao combined with uterine cavity water sac compression in treatment of placental membranes postpartum hemorrhage is superior simple uterine cavity water sac compression,it provides a good strategy.