宫腔水囊压迫法治疗阴道分娩产后出血的临床效果

Effect of Uterine Cavity Hydrocapsule Compression on Postpartum Hemorrhage in Vaginal Delivery

目的探讨宫腔水囊压迫法治疗阴道分娩产后出血的临床效果。方法选取峡江县妇幼保健院2018年7月至2020年7月收治的阴道分娩产后出血产妇84例作为研究对象,采用随机数字表法分为观察组与对照组,各42例。对照组行宫腔纱布填塞止血方法,观察组采取宫腔水囊压迫止血法,记录不同时间段出血量、止血效果、子宫动脉结扎率及并发症发生率。结果观察组术后2 h、12 h、24 h出血量均显著低于对照组(P<0.05);观察组手术操作时间、止血有效时间、填塞物留置时间、住院时间显著短于对照组(P<0.05);观察组并发症发生率为7.14%,显著低于对照组26.19%(P<0.05);观察组输血率为2.38%、子宫动脉结扎率为0.00%,对照组输血率为16.67%、子宫动脉结扎率为9.52%,观察组显著低于对照组(P<0.05)。结论在阴道分娩产后出血中若常规止血无效可采取宫腔水囊压迫法止血,可实现快速有效控制出血,操作效率高,止血效果好,且并发症发生率低,尤其减少子宫动脉结扎率,获得满意的止血作用,值得推广。

Objective To investigate the effect of uterine cavity water sac compression on the amount of bleeding after vaginal delivery.Methods A total of 84 cases of postpartum hemorrhage after vaginal delivery in Xiajiang Maternal and Child Health Hospital from July 2018 to July 2020 were selected as the research objects,and were randomly divided into observation group and control group,42 cases in each group.The control group was treated with uterine gauze packing hemostasis,while the observation group was treated with uterine cavity water sac compression hemostasis.The bleeding volume,hemostatic effect,uterine artery ligation rate and complication rate were recorded at different time points.Results The 2 h,12 h,24 h after operation blood loss of the observation group was significantly lower than that of the control group(P<0.05);the operation time,hemostatic effective time,packing retention time and hospitalization time of the observation group were significantly shorter than those of the control group(P<0.05);the complication rate of the observation group was 7.14%,which was significantly lower than that of the control group(26.19%)(P<0.05);the blood transfusion rate of the observation group was 2.38%,and the uterine artery ligation rate was 0.00%,which was significantly lower than that of the control group(16.67%and 9.52%,P<0.05).Conclusion In vaginal delivery postpartum hemorrhage,if the conventional hemostasis is ineffective,uterine cavity water sac compression hemostasis can be used to achieve rapid and effective control of bleeding,high operation efficiency,good hemostatic effect,and low postpartum complications rate,especially to reduce the rate of uterine artery ligation,obtain satisfactory hemostatic effect,worthy of promotion.