双腔导尿管水囊压迫法应用于前置胎盘剖宫产产后出血的效果研究

Effect Analysis of Intrauterine Water-Filled Balloon Oppression in the Treatment of Postpartum Hemorrhage After Cesarean Section in Patients with Placenta Previa

目的研究分析前置胎盘剖宫产产后出血采用双腔导尿管水囊压迫法的治疗效果。方法选择2012年5月至2015年4月期间于我院妇产科收治的剖宫产产后出血的前置胎盘患者30例,按照止血方式的不同分为观察组与对照组各15例,对照组患者采用宫腔填塞纱条法进行止血,观察组患者采用双腔导尿管水囊压迫法进行止血,比较两组患者的止血时间、输血量、出血量等手术指标以及并发症发生情况。结果观察组患者的止血时间,产后输血量,产后1 h、24 h出血量均显著低于对照组,差异具有统计学意义(P<0.05)。两组患者的并发症发生情况比较无统计学差异(P>0.05)。结论双腔导尿管水囊压迫法能够有效治疗前置胎盘剖宫产产后出血,有利于减少产妇产后出血,具有较高的临床推广应用价值。

Objective To analyze the effect of intrauterine water-filled balloon oppression for the treatment of postpartum hemorrhage after cesarean section in patients with placenta previa. Methods 30 cases of placenta previa patients with postpartum hemorrhage after cesarean section were divided into two groups equally. The control group was given the treatment of intrauterine packing with gauze, while the observation group was given the treatment of intrauterine water-filled balloon oppression. The amount of blood loss, hemostatic time and postpartum blood transfusion volume were compared between two groups. Results The hemostatic time, postpartum blood transfusion volume, bleeding volume of 1 hour and 24 hours after operation in the observation group were significantly lower than those in control group（all P〈0.05）. The complications situation of two groups was not statistically different（P〉0.05）. Conclusions The method of intrauterine water-filled balloon oppression has significant clinical effect for placenta previa patients with postpartum hemorrhage after cesarean section,which can quickly stop bleeding and reduce the amount of bleeding. It is worthy of promotion.