阴道分娩产后出血患者应用宫腔水囊压迫法的效果研究

Study on the Effect of Applying Uterine Water Sac Compression in Patients with Postpartum Bleeding in Vaginal Delivery

目的对阴道分娩产后出血患者使用宫腔水囊压迫法进行治疗的效果探讨。方法随机选取2019年2月—2021年10月期间南通市妇幼保健院收治的80例阴道分娩产后出血患者为研究对象,根据随机抽样法分为两组,各40例。其中,常规组使用纱条填塞法止血,研究组使用宫腔水囊压迫法止血,观察比较两组患者的治疗效果(治疗依从性、不良反应发生率、术后出血控制效果、临床指标)。结果研究组治疗依从性97.50%高于常规组,差异有统计学意义(χ^(2)=4.507,P<0.05)。研究组不良反应发生率5.00%低于常规组,差异有统计学意义(χ^(2)=4.114,P<0.05)。研究组手术操作时间(143.40±20.62)min、止血显效时间(1.52±0.61)h、填塞物留置时间(16.88±4.80)h、住院时间(7.72±1.36)d以及术后2 h出血量(150.27±25.13)mL、12 h出血量(106.31±29.34)mL、24 h出血量(99.48±11.48)mL、48 h出血量(85.06±10.46)mL、取出填塞物后出血量(19.10±4.67)mL,均优于常规组,差异有统计学意义(t=5.133、6.694、9.358、5.667、3.509、3.645、3.798、3.661、14.870,P<0.05)。结论为阴道分娩产后出血患者使用宫腔水囊压迫法治疗,可以有效减少患者术后出血量。

Objective To investigate the effect of using the uterine water sac compression method in patients with postpartum hemorrhage after vaginal delivery.Methods 80 patients with postpartum hemorrhage after vaginal delivery treated at Nantong Maternal and Child Health Hospital from February 2019 to October 2021 were randomly selected as the study subjects.They were randomly divided into two groups,with 40 cases in each group.Among them,the conventional group used gauze tamponade method to stop bleeding,while the study group used uterine water sac compression method to stop bleeding.The treatment effects(treatment compliance,incidence of adverse reactions,postoperative bleeding control effect,and clinical indicators)of the two groups of patients were observed and compared.Results The treatment compliance of the study group was 97.50%higher than that of the conventional group,and the difference was statistically significant(χ^(2)=4.507,P<0.05).The incidence of adverse reactions in the study group was 5.00%lower than that in the conventional group,and the difference was statistically significant(χ^(2)=4.114,P<0.05).The study group had a surgical procedure time of(143.40±20.62)minutes,hemostatic effect time of(1.52±0.61)hours,packing retention time of(16.88±4.80)hours,hospitalization time of(7.72±1.36)days,postoperative bleeding volume of 2 hours(150.27±25.13)mL,bleeding volume of 12 hours(106.31±29.34)mL,bleeding volume of 24 hours(99.48±11.48)mL,bleeding volume of 48 hours(85.06±10.46)mL,and bleeding volume after removing the packing material of(19.10±4.67)mL,all of which were superior to the conventional group,the differences were statistically significant(t=5.133,6.694,9.358,5.667,3.509,3.645,3.798,3.661,14.870,P<0.05).Conclusion The use of uterine water sac compression for patients with postpartum hemorrhage after vaginal delivery can effectively reduce the amount of postoperative bleeding in patients.