宫腔水囊压迫、宫颈钳夹及阴道填塞联合治疗宫缩乏力性产后出血的临床观察  

Clinical curative effect of uterine water sac compression combined with cervical clamp and vaginal tamponade on postpartum hemorrhage induced by uterine atony

作　　者：王珺 徐颖 谢晓玲 WANG Jun;XU Ying;XIE Xiaoling(Department of Obstetrics,Shangrao Maternal and Child Health Care Hospital,Shangrao,Jiangxi,334000,China)

机构地区：[1]上饶市妇幼保健院产科,江西上饶334000

出　　处：《当代医学》2022年第31期172-174,共3页Contemporary Medicine

摘　　要：目的比较分析宫腔水囊压迫、宫颈钳夹及阴道填塞联合应用治疗宫缩乏力性产后出血的临床应用观察价值。方法选取2019年2月至2021年2月于本院接受治疗的88例宫缩乏力性产后出血患者作为研究对象,采用简单随机分为观察组和对照组,每组44例。对照组采用宫腔水囊压迫联合阴道填塞止血,观察组采用宫腔水囊压迫、宫颈钳夹及阴道填塞止血。比较两组分娩中出血量、止血时间、填充物留置时间、产后24 h出血量。检测两组产后D-二聚体(DD)、纤维蛋白原(FIB)、凝血酶原时间(PT)、活化部分凝血酶原时间(APTT)、凝血酶时间(TT)及产后24 h红细胞计数(RBC)、血红蛋白(Hb)水平、并发症发生率。结果观察组分娩出血量和产后24 h出血量均少于对照组,止血时间、填充物留置时间均短于对照组(P<0.05);观察组APTT、TT水平明显低于对照组(P<0.05),DD、FIB水平高于对照组(P<0.05);产后24 h,观察组RBC、Hb水平高于对照组(P<0.05);两组并发症发生率比较差异无统计学意义。结论宫腔水囊压迫、宫颈钳夹及阴道填塞联合应用治疗宫缩乏力性产后出血疗效显著,可减少产后出血量,值得临床推广应用。Objective To analyze the clinical curative effect of uterine water sac compression combined with cervical clamp and vaginal tamponade on postpartum hemorrhage induced by uterine atony.Methods A total of 88 patients with postpartum hemorrhage induced by uterine atony treated in the hospital from February 2019 and February 2021 were selected as the research subjects,and they were divided into observation group and control group according to simple random grouping method,with 44 cases in each group.The control group was given intrauterine water sac compression combined with vaginal tamponade,while observation group was additionally given cervical clamp for hemostasis.The blood loss during delivery,hemostasis time,retention time of fillers and blood loss at 24h after delivery were compared between the two groups.The postpartum D-dimer(DD),fibrinogen(FIB),prothrombin time(PT),activated partial thromboplastin time(APTT)and thrombin time(TT),red blood cell count(RBC),hemoglobin(Hb)and incidence of complications at 24h after delivery in the two groups were detected.Results The blood loss during delivery and at 24h after delivery in observation group was less than that in control group(PP<0.05),hemostasis time and retention time of fillers were shorter than those in control group(P<0.05).APTT and TT in observation group were significantly lower than those in control group(P<0.05),while DD and FIB were higher than those in control group(P<0.05).At 24 h after delivery,RBC and Hb in observation group were higher than those in control group(P<0.05).There was no significant difference in the incidence of complications between the two groups.Conclusion The curative effect of uterine water sac compression combined with cervical clamp and vaginal tamponade is significant on postpartum hemorrhage induced by uterine atony,which can reduce postpartum blood loss and it is worthy of clinical application.

关 键 词：宫腔水囊压迫 宫颈钳夹 阴道填塞 宫缩乏力性产后出血 

分 类 号：R714.461[医药卫生—妇产科学]