宫腔水囊压迫止血法治疗阴道分娩产后出血的临床效果

Clinical effect of intrauterine water sac compression method on bleeding after vaginal delivery

目的探讨宫腔水囊压迫止血法治疗阴道分娩产后出血的临床效果。方法选取2018年4月~2019年12月我院收治的94例阴道分娩产后出血患者为研究对象,按照随机抽签法将其分为对照组和研究组,各47例。对照组采用传统纱布填充治疗,研究组采用宫腔水囊压迫止血法治疗,比较两组患者手术指标(手术时间、止血起效时间、填塞物放置时间)、术后出血量、住院时间、治疗依从性及不良反应发生情况。结果研究组手术时间、止血起效时间、填塞物放置时间均短于对照组(P<0.05);研究组术后2 h、12 h、24 h的出血量均少于对照组,住院时间短于对照组(P<0.05);研究组患者治疗依从率(97.87%)高于对照组(72.34%)(P<0.05);研究组总不良反应发生率(4.26%)低于对照组(17.02%)(P<0.05)。结论宫腔水囊压迫止血法治疗阴道分娩产后出血效果良好,止血起效快,可有效缩短手术时间、填充物放置时间,降低术后出血量,缩短住院时间,加快患者康复,提高治疗依从率,降低不良反应的发生,值得临床推广应用。

Objective To investigate the effect of intrauterine water sac compression method on bleeding after vaginal delivery.Methods A total of 94 cases of postpartum hemorrhage delivering by vagina in our hospital from April 2018 to December 2019 were selected as the research objects.They were randomly divided into control group and study group,47 cases in each group.The control group was treated with traditional treatment,while the study group was treated with intrauterine water sac compression method.The indexes of operation(operation time,filling time,packing time),postoperative bleeding volume,hospitalization time,treatment compliance and adverse reactions were compared between the two groups.Results The operative time,bleeding time and packing time in the study group were shorter than those in the control group(P<0.05).The operative time,bleeding time and packing time in the study group were shorter than those in the control group(P<0.05).The treatment compliance rate of the study group(97.87%)was higher than that of the control group(72.34%)(P<0.05).The incidence of adverse reactions in the study group(4.26%)was lower than that in the control group(17.02%)(P<0.05).Conclusion The effect of intrauterine water sac compression method in treatment of bleeding after vaginal delivery is good,can effectively shorten operation time and filling time,reduce postoperative bleeding volume,shorten hospitalization time,speed up recovery of patients,improve treatment compliance rate,reduce the occurrence of adverse reactions,and is worthy of clinical application.