水囊压迫法与纱布填塞法治疗产后出血临床对比分析

A Comparison of Cystic Oppression and Gauze Packing in the Treatment of Postpartum Hemorrhage

目的探讨水囊压迫法与纱布填塞法治疗产后出血的临床疗效。方法选取2010年10月至2013年10月我院收治的产后出血患者140例为研究对象,随机分为观察组和对照组各70例。观察组患者给予宫腔水囊压迫法止血,对照组患者给予宫腔纱布填塞法止血。比较两组患者的止血效果和并发症发生情况。结果两组患者取出填塞物后出血量比较差异无统计学意义(P>0.05),观察组止血操作时间、填塞物留置时间均明显短于对照组,差异具有统计学意义(P<0.05)。观察组术后出现再次出血1例(1.43%),并发症发生率为1.43%;对照组术后出现再次出血7例(10.00%),2例术后发热(2.86%),并发症发生率为12.86%;两组均无死亡病例,且术后再次出血率、并发症发生率比较差异有统计学意义(P<0.05)。结论水囊压迫法治疗产后出血疗效优于纱布填塞法,且操作简单,值得临床推广应用。

Objective To explore the clinical effect of cystic oppression and gauze packing in the treatment of postpartum hemorrhage. Methods 140 cases of patients with postpartum hemorrhage admitted to our hospital from October 2010 to October 2013 were selected as research objects. All patients were randomly divided into observation group and control group, with 70 cases in each group.Patients in observation group were given cystic oppression for hemostasis, patients in control group were given gauze packing for hemostasis. The hemostatic effect and complications were compared between two groups. Results The bleeding volume of two groups after removing the stuffing had no statistical difference（P〉0.05）. The operation time of hemostasis and indwelling time of stuffing of observation group were significantly shorter than those of control group, with statistical difference（P〈0.05）. The complications rate of observation group was 1.43%, with rebleeding in 1 case（1.43%）; the complications rate of control group was 12.86%, with rebleeding in 7 cases（10.00%）,postoperative fever in 2 cases（2.86%）; no death case found in two groups, and the rebleeding rate and complications rate of two groups had statistical difference（P〈0.05）. Conclusions Cystic oppression method has better effect than gauze packing method in the treatment of postpartum hemorrhage, which is easy to operate and is worthy of clinical application.