摘要
目的探讨宫颈钳夹与宫腔水囊填塞联合阴道后穹窿纱条填塞治疗产后出血的效果,为产后出血治疗方法的选择提供理论依据。方法选取2015年4月-2017年10月崇州市妇幼保健院收治的108例产后出血患者为研究对象,随机分为研究组、对照Ⅰ组和对照Ⅱ组,每组各36例。对照Ⅰ组给予阴道后穹窿纱条填塞+宫腔水囊填塞,对照Ⅱ组给予宫颈钳夹+宫腔水囊填塞,研究组给予宫腔水囊填塞+阴道后穹窿纱条填塞+宫颈钳夹。统计并比较3组治疗效果、一般治疗情况、血常规[红细胞计数(RBC)、血红蛋白(Hb)]、并发症发生率。结果研究组治疗有效率高于对照Ⅰ组和对照Ⅱ组(P<0.05)。研究组产后24h出血量、分娩时出血量、填塞物留置时间、止血用时少于对照Ⅰ组和对照Ⅱ组(P<0.05)。研究组RBC、Hb水平高于对照Ⅰ组和对照Ⅱ组(P<0.05)。3组并发症发生率比较,差异无统计学意义(P>0.05)。结论采取宫颈钳夹+宫腔水囊填塞+阴道后穹窿纱条填塞对产后出血产妇进行联合干预,可有效减少分娩及产后出血量,缩短止血用时,提高治疗效果,且术后RBC、Hb水平较高,并发症发生率较低,安全性较高。
Objective To explore the effects of cervical clamping and intrauterine balloon tamponade combined with posterior vaginal fornix gauze packing in treatment of postpartum hemorrhage,provide a theoretical basis for selection of therapeutic methods of postpartum hemorrhage. Methods A total of 108 patients with postpartum hemorrhage treated in Chongzhou Municipal Maternal and Child Health Care Hospital from April 2015 to October 2017 were selected and randomly divided into study group,control Ⅰ group,and control Ⅱ group,36 patients in each group. The patients in control Ⅰ group were treated by posterior vaginal fornix gauze packing and intrauterine balloon tamponade,the patients in control Ⅱ group were treated by cervical clamping and intrauterine balloon tamponade,the patients in study group were treated by cervical clamping and intrauterine balloon tamponade combined with posterior vaginal fornix gauze packing. The therapeutic effects,general treatment conditions,routine blood test results( red blood cell count,hemoglobin),and incidence rates of complications in the three groups were compared statistically. Results The effective rate of treatment in study group was statistically significantly higher than those in control Ⅰ group and control Ⅱ group( P<0. 05). The amount of blood loss within 24 hours after delivery,the amount of blood loss during delivery,the retention time of tamponade,and the time for hemostasis in study group were statistically significantly lower than those in control Ⅰ group and control Ⅱ group( P<0. 05). The levels of RBC and Hb in study group were statistically significantly higher than those in control Ⅰ group and control Ⅱ group( P<0. 05). There was no statistically significant difference in the incidence rate of complications among the three groups( P> 0. 05). Conclusion Cervical clamping and intrauterine balloon tamponade combined with posterior vaginal fornix gauze packing used for patients with postpartum hemorrhage can effectively reduce the amouts of blood loss duri
作者
杨杨
YANG Yang(Department of Gynecology and Obstetrics,Chongzhou Municipal Maternal and Child Health Care Hospital,Chongzhou,Sichuan 611237,China)
出处
《中国妇幼保健》
CAS
2018年第24期6009-6012,共4页
Maternal and Child Health Care of China
关键词
宫颈钳夹
宫腔水囊填塞
阴道后穹窿纱条填塞
产后出血
Cervical clamping
Intrauterine balloon tamponade
Posterior vaginal fornix gauze packing
Postpartum hemorrhage
