宫腔球囊压迫止血法治疗产妇产后出血的临床效果.docxVIP

宫腔球囊压迫止血法治疗产妇产后出血的临床效果 　　[摘要]目的探討宫腔球囊压迫止血法治疗产妇产后出血的临床效果。方法选取2017年8月～2018年12月我院收治的56例产后出血产妇作为研究对象，按照随机数字表法分为对照组（n=28例）和观察组（n=28例）。对照组采用宫腔内填塞纱布止血，观察组采用宫腔球囊压迫止血，比较两组的宫腔内填塞治疗时间、止血有效率、子宫动脉结扎率、术后并发症发生率、产后24h出血量、止血时间、血红蛋白、术后下床活动时间和住院时间。结果观察组宫腔内填塞治疗时间短于对照组，差异有统计学意义（p0.05）;观察组止血有效率高于对照组，子宫动脉结扎率低于对照组，差异均有统计学意义（p0.05）;观察组术后并发症总发生率低于对照组，差异有统计学意义（p0.05）;观察组产后24h出血量少于对照组，且止血时间短于对照组，差异均有统计学意义（p0.05）;观察组术后血红蛋白水平高于对照组，且术后下床活动时间和住院时间短于对照组，差异均有统计学意义（p0.05）。结论采用宫腔球囊压迫止血法治疗产妇产后出血的效果显著，可缩短操作时间，提高止血有效率，且并发症发生率更低，值得临床推广应用。 　　[关键词]宫腔球囊压迫止血法;产妇;产后出血;止血效果 　　[中图分类号]r714.46[文献标识码]a[文章编号]1674-4721（2020）4（a）-0117-03 　　[abstract]objectivetoinvestigatetheclinicaleffectofintrauterineballooncompressionandhemostasisinthetreatmentofpostpartumhemorrhage.methodsatotalof56casesofpostpartumhemorrhagepatientsadmittedtoourhospitalfromaugust2017todecember2018wereselectedasthestudysubjects.accordingtotherandomnumbertablemethod，theyweredividedintocontrolgroup（n=28）andobservationgroup（n=28）.thecontrolgroupwastreatedwithintrauterinegauzetostopbleeding.theobservationgroupwastreatedwithintrauterineballooncompressionhemostasis.theintrauterinetamponadetreatmenttime，hemostasisefficiency，uterinearteryligationrate，postoperativecomplicationrate，24hpostpartumbleedingvolume，hemostasistime，hemoglobin，timeofgettingoutofbedandstayinginhospitalafteroperationbetweentwogroupswerecompared.resultstheintrauterinetamponadetreatmenttimeoftheobservationgroupwasshorterthanthatofthecontrolgroup，thedifferencewasstatisticallysignificant（p0.05）.thehemostasisefficiencyoftheobservationgroupwashigherthanthatofthecontrolgroup，andtheuterinearteryligationratewaslowerthanthecontrolgroup，thedifferenceswerestatisticallysignificant（p0.05）.thetotalincidenceofpostoperativecomplicationsintheobservationgroupwaslowerthanthatinthecontrolgroup，thedifferencewasstatisticallysignificant（p0.05）.thebleedingvolumeintheobservationgroupwaslowerthanthatinthecontrolgroupat24hourspostpartum，thehemostasistimewasshorterthanthatofthecontrolgroup，andthedi