宫腔压迫球囊控制产后出血的相关问题  

Uterine Cavity Compression Balloon Control Postpartum Hemorrhage Related Problems

作　　者：谢程[1] 李文亚 XIE Cheng;LI Wenya(Department of Obstetrics and Gynecology,The First People's Hospital of Xiantao,Xiantao Hubei 433000,China)

机构地区：[1]湖北省仙桃市第一人民医院妇产科

出　　处：《中国继续医学教育》2020年第1期111-113,共3页China Continuing Medical Education

摘　　要：目的观察分析宫腔压迫球囊控制产后出血的临床效果。方法选取本院2018年1月—2019年2月收治的144例产后出血患者,按照不同治疗方式分为试验组(72例,应用宫腔压迫球囊治疗方法)和对照组(72例,应用宫腔填纱治疗方法)。分析两组产后出血患者平均产后出血量(术后2 h、术后24 h)、止血成功率、产后患者月经平均恢复时间、术后血色素下降水平、平均住院天数。结果试验组产后出血患者的平均产后出血量(术后2 h、术后24 h)少于对照组(P<0.05),试验组产后出血患者的止血成功率高于对照组(P<0.05),试验组产后出血患者的月经平均恢复时间、平均住院天数显著短于对照组(P<0.05),试验组产后出血患者的术后血色素下降水平低于对照组(P<0.05)。结论宫腔压迫球囊控制产后出血的临床效果较为理想,能够显著缩短产后出血患者的月经平均恢复时间、平均住院天数,提高止血成功率。Objective To observe and analyze the clinical effect of uterine cavity compression balloon in controlling postpartum hemorrhage.Methods 144 postpartum hemorrhage patients admitted to our hospital(from January 2018 to February 2019)were selected and divided into the experimental group(72 cases with intrauterine compression balloon therapy)and the control group(72 cases with intrauterine gauze therapy)according to different treatment methods.Statistics were used to analyze the average postpartum blood loss(2 h after surgery and 24 h after surgery),success rate of hemostasis,average recovery time of menstruation in postpartum patients,postoperative hemoglobin decline level,and average length of hospital stay in the two groups.Results the patients with postpartum hemorrhage of postpartum haemorrhage amount on average(2 h after surgery,postoperative 24 h)less than the control group(P<0.05),the experimental group patients with postpartum hemorrhage of hemostatic rate is higher than the control group(P<0.05),the experimental group patients with postpartum hemorrhage of menstrual average recovery time,average hospitalization days was significantly shorter than the control group(P<0.05),the experimental group of postpartum hemorrhage in patients with postoperative hemoglobin level is lower than the control group(P<0.05).Conclusion The clinical effect of intrauterine pressure balloon in the control of postpartum hemorrhage is ideal,which can significantly shorten the average menstrual recovery time,the average number of days in hospital,and improve the success rate of hemostasis.

关 键 词：宫腔压迫球囊 产后出血 宫腔填纱 止血成功率 产后患者月经平均恢复时间 术后血色素下降发生率 

分 类 号：R722[医药卫生—儿科]