宫腔球囊压迫法在前置胎盘产妇剖宫产手术中的应用效果  

Application Effect of Intrauterine Balloon Compression in Cesarean Section of Parturients with Placenta Praevia

作　　者：肖芳[1] 方梅 赵兴东[1] 王兰[1] Xiao Fang;Fang Mei;Zhao Xingdong;Wang Lan(Guizhou Aerospace Hospital,Zunyi 563000,Guizhou Province,China)

机构地区：[1]贵州航天医院,贵州遵义563000

出　　处：《中国社区医师》2023年第32期22-24,共3页Chinese Community Doctors

摘　　要：目的:分析宫腔球囊压迫法在前置胎盘产妇剖宫产手术中的应用效果。方法:选取2021年1月—2022年1月于贵州航天医院妇产科行剖宫产手术的前置胎盘产妇100例作为研究对象,随机分为试验组与对照组,各50例。试验组在常规治疗基础上采用宫腔球囊压迫法,对照组在常规治疗基础上采用宫腔纱布填塞法。比较两组治疗效果。结果:试验组子宫复旧周期、填塞物留置时间、手术时间、住院时间短于对照组,差异有统计学意义(P<0.05)。试验组产中及产后2、12、24 h出血量均少于对照组,差异有统计学意义(P<0.05)。试验组并发症总发生率低于对照组,差异有统计学意义(P=0.024)。试验组止血总有效率高于对照组,差异有统计学意义(P=0.018)。结论:宫腔球囊压迫法在前置胎盘产妇剖宫产手术中的止血效果显著,可有效减少产中、产后出血量,加速产妇恢复,降低并发症发生率。Objective:To analyze the application effect of intrauterine balloon compression on cesarean section of parturients with placenta praevia.Methods:A total of 100 parturients with placenta praevia who underwent cesarean section at the Obstetrics and Gynecology Department of Guizhou Aerospace Hospital from January 2021 to January 2022 were selected as the study subjects.They were randomly divided into an experimental group and a control group,with 50 cases in each group.On the basis of routine treatment,the experimental group used intrauterine balloon compression,and the control group used intrauterine gauze tamponade.The treatment effects of two groups were compared.Results:The uterine involution cycle,packing retention time,surgical time,and hospitalization time in the experimental group were shorter than those in the control group,with statistically significant differences(P<0.05).The bleeding volume during delivery and at postpartum 2 h,12 h,and 24 h in the experimental group was less than that in the control group,and the difference was statistically significant(P<0.05).The total incidence of complications in the experimental group was lower than that in the control group,and the difference was statistically significant(P=0.024).The total effective rate of hemostasis in the experimental group was higher than that in the control group,with a statistically significant difference(P=0.018).Conclusion:The hemostatic effect of intrauterine balloon compression in cesarean section of parturients with placenta praevia is significant,which can effectively reduce the bleeding volume during delivery and after delivery,accelerate the recovery of parturients,and reduce the incidence of complications.

关 键 词：宫腔球囊压迫法 前置胎盘 剖宫产 宫腔纱布填塞法 

分 类 号：R719.8[医药卫生—妇产科学]