宫腔单球囊联合葡萄糖酸钙在剖宫产术中预防产后出血的应用效果

Application Effect of Intrauterine Single Balloon Combined with Calcium Gluconate in Prevention of Postpartum Hemorrhage during Cesarean Section

目的:分析宫腔单球囊联合葡萄糖酸钙在剖宫产术中预防产后出血的应用效果。方法:选取2023年4—12月吉安市妇幼保健院收治的106例拟行剖宫产的孕妇为研究对象,按照治疗方式的不同,将其分为观察组(n=65)与对照组(n=41)。对照组采用宫腔填纱+葡萄糖酸钙治疗,观察组采用宫腔单球囊填塞+葡萄糖酸钙治疗。比较两组临床疗效、手术指标、恢复指标、出血量、子宫下降幅度及不良反应发生率。结果:观察组临床总有效率为95.38%,高于对照组的75.61%,差异有统计学意义(P<0.05);观察组手术时间、住院时间均短于对照组,恶露排净时间、月经恢复时间均早于对照组(P<0.05);观察组产后2、4 h出血量均低于对照组(P<0.05);观察组产后1、3、5 h的子宫下降幅度均高于对照组(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:剖宫产术中采用宫腔单球囊联合葡萄糖酸钙的处理方式有助于预防产后出血,并促进术后康复进程。

Objective:To analyze the effect of intrauterine single balloon combined with Calcium Gluconate in preventing postpartum hemorrhage during cesarean section.Method:A total of 106 pregnant women who were expected to undergo cesarean section treated in Ji’an Maternal and Child Health Hospital from April to December 2023 were selected as the research objects.According to the different treatment methods,they were divided into observation group(n=65)and control group(n=41).The control group was treated with intrauterine stuffing+Calcium Gluconate,and the observation group was treated with intrauterine single balloon stuffing+Calcium Gluconate.The clinical efficacy,operation indexes,recovery indexes,blood loss,uterine decline and the incidence of adverse reactions were compared between the two groups.Result:The total clinical effective rate of the observation group was 95.38%,higher than 75.61%of the control group,the difference was statistically significant(P<0.05).The operation time and hospital stay in the observation group were shorter than those in the control group,the lochia clearance time and menstrual recovery time were earlier than those in the control group(P<0.05).The postpartum blood loss 2 and 4 h in the observation group were lower than those in the control group(P<0.05).The decrease of uterus at 1,3 and 5 h postpartum in observation group was higher than those in control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:Using intrauterine single balloon combined with calcium gluconate in cesarean section is helpful to prevent postpartum hemorrhage and promote postoperative rehabilitation.