宫腔水囊压迫法与纱布填塞法治疗阴道分娩产后出血的效果及安全性分析  

Effect and Safety Analysis of Intrauterine Water Sac Compression and Gauze Packing in the Treatment of Postpartum Hemorrhage After Vaginal Delivery

作　　者：吉良勤 Ji Liangqin(The First People's Hospital of Guannan County,Lianyungang City,Lianyungang,Jiangsu 222500,China)

机构地区：[1]连云港市灌南县第一人民医院,江苏连云港222500

出　　处：《大医生》2020年第12期64-66,共3页Doctor

摘　　要：目的探讨宫腔水囊压迫法与纱布填塞法治疗阴道分娩产后出血的效果及安全性。方法回顾性选取2012年6月至2019年12月连云港市灌南县第一人民医院阴道分娩后出现产后出血的56例患者的临床资料,按照治疗方式的不同将患者分成两组,每组28例,其中对照组患者采用纱布填塞法止血,观察组患者采用宫腔水囊压迫法止血,对比两组患者不同时间点出血量、手术用时、填塞物留置时间、有效止血时间及并发症发生情况。结果观察组与对照组比较,产后24 h、产后48 h及取出填塞物后阴道出血量更少;观察组与对照组比较,手术用时、填塞物留置时间及有效止血时间更短,差异均有统计学意义(P<0.05);观察组2例(7.14%)出现并发症,对照组8例(28.57%)出现并发症,差异有统计学意义(P<0.05)。结论对阴道分娩出现产后出血的产妇,宫腔水囊压迫法与纱布填塞法是临床常用的止血方式,前者不同时间点出血量更少,且手术用时、填塞物留置时间及有效止血时间更短,并发症更少,止血效果及安全性更具优势。Objective To investigate the efficacy and safety of uterine water sac compression and gauze packing in the treatment of postpartum hemorrhage during vaginal delivery.Methods Retrospectively selected the clinical data of 56 patients with postpartum hemorrhage after vaginal delivery in the First People's Hospital of Guannan County,Lianyungang City from June 2012 to December 2019.The patients were divided into two groups according to different treatment methods,each with 28 Cases,the control group used gauze packing to stop bleeding,and the observation group used uterine water sac compression to stop bleeding.The bleeding volume,operation time,packing indwelling time,effective hemostasis time and complications were compared between the two groups at different time points.Results Compared with the control group,the observation group had less vaginal bleeding at 24 h postpartum,48 h postpartum and after the tampon was removed;compared with the control group,the operation time,tampon indwelling time and effective hemostasis time were shorter,and there were differences Statistically significant(P<0.05);2 cases(7.14%)in the observation group had complications,and 8 cases(28.57%)in the control group had complications.The difference was statistically significant(P<0.05).Conclusion For parturients with postpartum hemorrhage during vaginal delivery,uterine sac compression and gauze packing are commonly used in clinical hemostasis.The former has less bleeding at different time points,and the operation time,tampon retention time and effective hemostasis time are shorter,There are fewer complications,hemostatic effect and safety are more advantageous.

关 键 词：宫腔水囊压迫法 纱布填塞法 阴道分娩 产后出血 

分 类 号：R47[医药卫生—护理学]