一次性宫腔压迫球囊治疗产后出血患者的临床价值研究

Study on clinical value of disposable intrauterine compression balloon in the treatment of postpartum hemorrhage

目的探讨研究一次性宫腔压迫球囊治疗产后出血患者的临床价值。方法100例产后出血患者,采用随机数字表法将其分为对照组和研究组,各50例。对照组患者采用宫腔填塞治疗,研究组采用一次性宫腔压迫球囊治疗。比较两组患者术中出血量、产后出血量、输血量、止血时间以及产后不良事件发生率。结果研究组患者术中出血量(725.4±19.9)ml、产后2 h出血量(58.6±4.9)ml、产后24 h出血量(147.8±23.9)ml、输血量(2.01±0.52)U均少于对照组的(829.1±19.4)ml、(79.9±5.0)ml、(266.5±25.9)ml、(3.16±0.49)U,止血时间(42.8±4.9)min短于对照组的(67.8±5.9)min,差异均具有统计学意义(P<0.05)。研究组不良事件发生率低于对照组,差异具有统计学意义(P<0.05)。结论一次性宫腔压迫球囊治疗产后出血患者操作简单,能够降低不良事件发生率,减少患者出血量、输血量、止血时间,可以在临床上大力推广应用。

Objective To discuss and study the clinical value of disposable intrauterine compression balloon in the treatment of postpartum hemorrhage.Methods A total of 100 patients with postpartum hemorrhage were divided into control group and research group according to random numerical table,with 50 cases in each group.The control group was treated with intrauterine packing,while the research group was treated with disposable intrauterine balloon compression.Patients in both groups were compared in terms of intraoperative blood loss,postpartum hemorrhage,blood transfusion,hemostasis time,and the incidence of postpartum adverse events.Results In the research group,the intraoperative blood loss(725.4±19.9)U,2 h postpartum blood loss(58.6±4.9)ml,24 h postpartum blood loss(147.8±23.9)ml,and blood transfusion volume(2.01±0.52)U were all less than(829.1±19.4)ml,(79.9±5.0)ml,(266.5±25.9)ml,(3.16±0.49)ml of the control group,and the hemostasis time(42.8±4.9)min was shorter than(67.8±5.9)min of the control group.All the differences were statistically significant(P<0.05).The incidence of adverse events in the research group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Disposable intrauterine compression balloon for patients with postpartum hemorrhage is simple to operate,and can reduce the incidence of adverse events,blood loss,blood transfusion,and hemostasis time in patients,which should be vigorously promoted and applied in clinical medicine.