球囊子宫支架止血措施在难治性产后出血中的应用效果研究

Application effect of balloon uterine stent hemostatic measures in refractory postpartum hemorrhage

目的研究球囊子宫支架止血措施用于难治性产后出血患者的效果。方法80例难治性产后出血患者,遵从“乱数表法”分配原则分为参照组和研究组,各40例。研究组给予球囊子宫支架止血措施,参照组给予宫腔纱布填塞压迫止血措施。比较两组患者治疗满意度、不同时期的出血量、睡眠质量及生活质量评分。结果研究组患者治疗总满意度高于参照组,差异具有统计学意义(P<0.05)。参照组患者分娩时出血量为(215.26±17.35)ml、产后2 h出血量为(207.59±11.05)ml、产后24 h出血量为(395.26±25.91)ml;研究组患者分娩时出血量为(173.26±16.85)ml、产后2 h出血量为(106.29±13.20)ml、产后24 h出血量为(301.48±15.28)ml。研究组患者分娩时出血量、产后2 h出血量及产后24 h出血量均少于参照组,差异有统计学意义(P<0.05)。研究组的睡眠持续时间(270.96±53.26)min长于参照组的(189.21±46.98)min,睡眠潜伏期时间(23.01±3.26)min短于参照组的(31.20±6.22)min,差异具有统计学意义(P<0.05)。研究组患者社会功能、躯体功能、情感健康以及心理健康评分分别为(77.32±14.85)、(73.65±13.20)、(75.36±15.28)、(78.26±17.95)分,高于参照组的(64.21±11.40)、(64.25±11.05)、(60.32±10.03)、(65.27±11.95)分,差异具有统计学意义(P<0.05)。结论难治性产后出血患者行球囊子宫支架止血措施有很高的临床价值。

Objective To study the effect of balloon uterine stent hemostatic measures in refractory postpartum hemorrhage.Methods A total of 80 patients with refractory postpartum hemorrhage were divided into the reference group and the research group according to the allocation principle of"random number table",with 40 cases in each group.The research group was given balloon uterine stent hemostatic measures,and the control group was given uterine gauze packing and compression hemostatic measures.The treatment satisfaction,blood loss at different stages,quality of sleep,and quality of life score were compared between the two groups.Results The treatment satisfaction of patients in the research group was higher than that in the reference group,and the difference was statistically significant(P<0.05).In the control group,the blood loss was(215.26±17.35)ml at delivery,(207.59±11.05)ml at 2 h postpartum,and(395.26±25.91)ml at 24 h postpartum;in the research group,the blood loss was(173.26±16.85)ml at delivery,(106.29±13.20)ml at 2 h postpartum,and(301.48±15.28)ml at 24 h postpartum.The blood loss at delivery,2 h postpartum and 24 h postpartum in the research group was less than that in the reference group,and the difference was statistically significant(P<0.05).The sleep duration of(270.96±53.26)min in the research group was longer than that of(189.21±46.98)min in the reference group;the sleep latency time of(23.01±3.26)min in the research group was shorter than that of(31.20±6.22)min in the reference group;the differences were statistically significant(P<0.05).The scores of social function,physical function,emotional health and mental health were(77.32±14.85),(73.65±13.20),(75.36±15.28)and(78.26±17.95)points in the research group,which were higher than those of(64.21±11.40),(64.25±11.05),(60.32±10.03)and(65.27±11.95)points in the reference group,and the differences were statistically significant(P<0.05).Conclusion It is of high clinical value to use balloon uterine stent hemostatic measures in patients with refractory postpartum hemorrhage.