宫腔水囊填塞、宫颈钳夹及阴道纱条填塞在产后出血中联合应用价值分析

Analysis of combined application value of uterine cavity water sac compression, cervix clamping and vaginal gauze packing in postpartum hemorrhage

目的探讨宫腔水囊填塞、宫颈钳夹和阴道纱条填塞联合应用于产后出血的临床效果。方法 96例产后出血高危患者,随机分为对照组和观察组,每组48例。对照组采取宫腔内填塞纱条治疗,观察组采取宫腔水囊塞、宫颈钳夹和阴道纱条填塞联合治疗,比较两组的治疗效果。结果观察组止血所需时间为(4.8±1.6)min,对照组止血所需时间为(13.5±1.5)min,比较差异有统计学意义(P<0.05)。观察组产后24 h出血量为(80.5±30.5)ml,对照组产后24 h出血量为(95.5±32.5)ml,比较差异有统计学意义(P<0.05)。观察组感染发生率为2.1%,对照组感染发生率为4.2%,比较差异无统计学意义(P>0.05)。结论宫腔水囊填塞、宫颈钳夹和阴道纱条填塞联合应用于产后出血治疗中,可明显缩短止血时间,减少产后出血量。

Objective To explore the clinical effect of uterine cavity water sac compression, cervix clamping and vaginal gauze packing applied in postpartum hemorrhage. Methods A total of 96 postpartum hemorrhage in high risk patients were randomly divided into control group and observation group, with 48 cases in each group. The control group received uterine cavity water sac compression for treatment, and the observation group received uterine cavity water sac compression, cervix clamping and vaginal gauze packing for treatment. Treatment effect was compared in two groups. Results The observation group had hemostasis time as（4.8±1.6） min, which was（13.5±1.5） min in the control group, and the difference had statistical significance（P〈0.05）. Theobservation group had 24 h postpartum bleeding volume as（80.5±30.5） ml, which was（95.5±32.5） ml in the control group, and the difference had statistical significance（P〈0.05）. The observation group had incidence of infection as 2.1%, which was 4.2% in the control group, and the difference had statistical significance（P〉0.05）. Conclusion Combined application of uterine cavity water sac compression, cervix clamping and vaginal gauze packing in postpartum hemorrhage can obviously shorten bleeding time and reduce postpartum bleeding volume.