宫腔水囊压迫对宫缩乏力性产后出血的效果及对疼痛程度的影响  

Effect of Uterine Cavity Water Sac Compression on Postpartum Hemor⁃rhage Caused by Uterine Inertia and Its Effect on Pain Degree

作　　者：陈莹燕 沈冬梅 CHEN Yingyan;SHEN Dongmei(Department of Obstetrics and Gynecology,Nanjing Gaochun People's Hospital,Nanjing 211300,Jiangsu,China)

机构地区：[1]南京市高淳人民医院妇产科,江苏南京211300

出　　处：《中外医疗》2024年第22期56-59,共4页China & Foreign Medical Treatment

摘　　要：目的探究宫腔水囊压迫法用于临床治疗宫缩乏力性产后出血情况的效果以及对疼痛的影响。方法方便选取2022年3月—2023年12月南京市高淳人民医院产科收治的108例宫缩乏力性产后出血患者为研究对象,以不同治疗方法分为对照组和观察组,各54例。对照组采取常规方式治疗;观察组采用宫腔水囊压迫方式治疗。比较两组患者的不同时间点出血量及止血用时、产后不同时间疼痛程度、产后并发症总发生率。结果观察组经宫腔水囊压迫治疗后,产后2 h及产后24 h出血量均少于对照组,止血用时短于对照组,差异有统计学意义(P均<0.05)。观察组产后2 h、产后12 h及产后24 h的疼痛得分均低于对照组,差异有统计学意义(P均<0.05)。观察组产后并发症总发生率为1.85%(1/54),低于对照组的14.81%(8/54),差异有统计学意义(χ^(2)=4.364,P<0.05)。结论临床治疗宫缩乏力性产后出血情况可采取宫腔水囊压迫方式,相较常规填充纱布效果更优,有效减少出血量,可快速止血,同时减轻患者疼痛。Objective Exploring the effectiveness of uterine cavity water sac compression method in clinical treatment of postpartum hemorrhage caused by uterine atony and its impact on pain.Methods A total of 108 patients with postpartum hemorrhage due to uterine inertia admitted to the obstetrics department of Nanjing Gaochun People's Hospital from March 2022 to December 2023 were conveniently selected as the research objects and divided into control group and observation group by different treatment methods,with 54 cases in each group.The control group was treated with routine treatment;the observation group was treated with intrauterine water sac compression.The amount of bleeding and hemostasis time at different time points,the degree of pain at different time after delivery,and the total incidence of postpartum complications were compared between patients in two groups.Results The amount of postpartum hemorrhage at 2 hours and 24 hours after intrauterine water sac compression in the observation group were less than that in the control group,and the hemostasis time was shorter than that in the control group,the differences were statistically significant(all P<0.05).The pain scores of the observation group at 2 hours,12 hours and 24 hours after delivery were lower than those of the control group,and the differences were statistically significant(all P<0.05).The total incidence of postpartum complications in the observation group was 1.85%(1/54),which was lower than 14.81%(8/54)in the control group,and the difference was statistically significant(χ^(2)=4.364,P<0.05).Conclusion The clinical treatment of postpartum hemorrhage caused by uterine atony can adopt the method of uterine cavity water sac compression,which is more effective than conventional gauze filling,effectively reducing bleeding volume,quickly stopping bleeding,reducing patient pain,and preventing complications.

关 键 词：宫腔水囊压迫法 宫缩乏力性产后出血 效果 疼痛程度 

分 类 号：R62[医药卫生—整形外科]