一次性宫腔压迫球囊在产后出血中的应用

Application of Disposable Uterine Cavity Compression Balloon in Postpartum Hemorrhage

目的探讨产后出血采用一次性宫腔压迫球囊治疗的临床效果。方法该次研究选取的观察对象为2018年1月—2019年12月在该院进行治疗的40例产后出血患者,按照随机抽样的方法进行分组,将其中采用子宫腔纱布填塞术进行治疗的25例患者设置为对照组,将其中采用一次性宫腔压迫球囊治疗的15例患者设置为观察组,比较两组患者止血成功率、手术指标及预后情况。结果观察组止血成功率93.3%高于对照组80.0%,差异有统计学意义(χ2=11.136,P<0.05);观察组子宫切除率0.0%低于对照组8.0%,差异有统计学意义(P<0.05);观察组子宫动脉结扎率6.7%低于对照组20.0%,差异有统计学意义(χ2=3.795,P<0.05);观察组术中出血量为(620.7±43.6)mL,低于对照组(675.4±52.3)mL,差异有统计学意义(t=3.399,P<0.05);观察组手术时间为(15.8±2.5)min,低于对照组(37.4±3.6)min,差异有统计学意义(t=20.422,P<0.05);观察组术后24 h血红蛋白为(105.1±10.9)g/L,高于对照组(84.2±9.1)g/L,差异有统计学意义(t=6.529,P<0.05)。结论采用一次性宫腔压迫球囊治疗产后出血,可加快止血速度,减少术后出血量,且患者预后效果较好,术后恢复较快,临床治疗效果显著。

Objective To investigate the clinical effect of using a disposable uterine compression balloon to treat postpartum hemorrhage.Methods The observation objects selected for this study were 40 patients with postpartum hemorrhage who were treated in the hospital from January 2018 to December 2019.They were grouped according to a random sampling method,and 25 of them were treated with uterine cavity gauze tamponade.The patients were set as the control group,and 15 patients treated with a one-time intrauterine compression balloon were set as the observation group.The success rate of hemostasis,surgical indicators and prognosis were compared between the two groups.Results The success rate of hemostasis in the observation group was 93.3%higher than that of the control group 80.0%,the difference was statistically significant(χ2=11.136,P<0.05);the hysterectomy rate of the observation group was 0.0%lower than the control group 8.0%,the difference was statistically significant(P<0.05);the uterine artery ligation rate of the observation group was 6.7%lower than the control group 20.0%,the difference was statistically significant(χ2=3.795,P<0.05);the intraoperative blood loss in the observation group was(620.7±43.6)mL,which was lower than the control group(675.4±52.3)mL,the difference was statistically significant(t=3.399,P<0.05);the operation time of the observation group was(15.8±2.5)min,which was lower than the control group(37.4±3.6)min,the difference was statistically significant(t=20.422,P<0.05);the hemoglobin of the observation group was(105.1±10.9)g/L at 24 h after surgery,which was higher than the control group(84.2±9.1)g/L,the difference was statistical significance(t=6.529,P<0.05).Conclusion The use of a disposable uterine compression balloon to treat postpartum hemorrhage can speed up hemostasis and reduce postoperative bleeding,and the patient has a better prognosis,faster postoperative recovery,and significant clinical treatment effects.