宫腔球囊放置压迫应用于剖宫产术中预防产后出血的效果及对产后并发症发生情况的影响

Effect of Intrauterine Balloon Placement and Compression on the Prevention of Postpartum Hemorrhage during Cesarean Section and on the Occurrence of Postpartum Complications

目的 分析宫腔球囊放置压迫应用于剖宫产术中预防产后出血的效果及对并发症发生情况的影响。方法 选取2019年1月—2023年12月贵州省毕节市赫章县人民医院收治的70例剖宫产患者为研究对象,根据不同止血方式分为对照组和观察组,每组35例。术中,对照组应用纱布填塞压迫,观察组应用宫腔球囊放置压迫。对比两组患者产后2 h、24 h出血量、产后感染发生率及其他并发症发生率。结果 观察组产后2 h、24 h出血量分别为(300.07±15.04)mL、(460.18±23.04)mL,少于对照组的(548.15±23.16)mL、(812.17±50.29)mL,差异有统计学意义(t=9.357、8.548,P均<0.05)。观察组并发症发生率(0)低于对照组(22.86%)(8/35),差异有统计学意义(P<0.05)。结论 宫腔球囊放置压迫应用于剖宫产术中预防产后出血的效果显著,且能有效降低患者产后并发症发生率。

Objective To analyze and evaluate the effect of intrauterine balloon placement and compression on the prevention of postpartum hemorrhage and the occurrence of postpartum and complications during cesarean section.Methods Seventy patients with cesarean section admitted to Bijie Hezhang County People's Hospital from January 2019 to December 2023 were selected as the study objects,and were divided into control group and observation group according to different ways of hemostasis,with thirty-five cases in each group.During the operation,the control group was treated with gauze packing and the observation group was treated with intrauterine balloon placement.The blood loss at 2 h and 24 h after delivery,the incidence of postpartum infection and other complications were compared between the two groups.Results The postpartum blood loss of the observation group was(300.07±15.04) mL and(460.18±23.04) mL at 2 h and 24 h,respectively,less than that of the control group(548.15±23.16) mL and(812.17±50.29) mL,and the difference was statistically significant(t=9.357,8.548,both P<0.05).The incidence of complications(0) in the observation group was lower than that in the control group(22.86%)(8/35),the difference was statistically significant(P<0.05).Conclusion The application of intrauterine balloon compression in the prevention of postpartum hemorrhage during cesarean section is significant,and can effectively reduce the incidence of postpartum complications.