宫腔水囊压迫对宫缩乏力性产后出血临床效果及疼痛程度的影响分析  

Analysis of clinical effect and pain degree of uterine cavity water sac compression on postpartum hemorrhage caused by uterine atony

作　　者：黎自领 杨瑜 Li Ziling;Yang Yu(The Dongguan Kanghua Hospital,Dongguan,Guangdong 523000;The Guangdong Medical College,Dongguan,Guangdong 523000)

机构地区：[1]东莞康华医院,广东东莞523000 [2]广东医学院,广东东莞523000

出　　处：《基层医学论坛》2022年第20期7-9,共3页The Medical Forum

摘　　要：目的探讨宫缩乏力性产后出血患者应用宫腔水囊压迫治疗的效果以及对疼痛程度的影响。方法在东莞康华医院产科2019年1月—2020年7月收治的宫缩乏力性产后出血患者中选出136例为研究对象,以随机数字表法分成2组:对照组68例患者给予宫腔纱布填充和常规保守疗法,观察组68例给予常规保守疗法和宫腔水囊压迫治疗,对比2组的止血有效率、疼痛评分等。结果观察组的止血有效率为95.59%,高于对照组的83.82%(P<0.05);观察组失血性休克、DIC以及产后并发症发生率均低于对照组(P<0.05);观察组止血时间及治疗2 h、24 h的出血量均少于对照组(P<0.05);观察组VAS评分低于对照组(P<0.05)。结论宫腔水囊压迫在宫缩乏力性产后出血中应用效果肯定,有利于促进止血,减少相关并发症发生,且操作中疼痛程度轻微,患者更易接受,值得推广。Objective To explore the effect of intrauterine hydrocele compression therapy and its influence on the pain degree of patients with postpartum hemorrhage due to uterine atony.Methods From January 2019 to July 2020,136 patients with postpartum hemorrhage due to uterine atony who were admitted to the obstetrics department of our hospital were selected as the subjects and divided into two groups by random number table method:the control group,68 patients,were given uterine gauze filling Compared with conventional conservative therapy,68 cases in the observation group were given conventional conservative therapy and uterine cavity water bladder compression therapy,and the hemostatic efficiency and pain score were compared between the two groups.Results The effective rate of hemostasis in the observation group was 95.59% higher than that in the control group,which was 83.82%(P<0.05);the incidence of hemorrhagic shock,DIC and postpartum complications in the observation group after treatment were lower than those in the control group(P<0.05);comparison of hemostasis time,bleeding volume at 2h and 24h of treatment:the observation group was lower than the control group(P<0.05);the pain VAS score of the observation group during the rescue process was lower than that of the control group(P<0.05).Conclusion The application effect of intrauterine water bladder compression in postpartum hemorrhage due to uterine atony is positive,it is beneficial to promote hemostasis and reduce the occurrence of related complications,and the degree of pain during the operation is mild,which is easier for patients to accept,and it is worthy of promotion.

关 键 词：宫缩乏力性产后出血 宫腔水囊 宫腔纱布填充 疼痛程度 并发症 

分 类 号：R714.461[医药卫生—妇产科学]