摘要
目的分析宫颈环扎术加球囊压迫宫腔对难治性产后出血的治疗效果。方法以2019年3月—2021年3月作为研究时间,从此时间段内罗定市妇幼保健院收治的难治性产后出血患者中随机抽取100例进行调查。按照住院病床单双号的方式将100例研究疾病患者分为两个不同小组。参比组研究疾病患者使用宫颈环扎术治疗。试验组研究疾病患者使用宫颈环扎术加球囊压迫宫腔止血治疗。对比两组难治性产后出血患者治疗后的手术指标、止血有效率。结果在对难治性产后出血患者进行治疗中,试验组研究疾病患者的手术时长为(26.76±9.85)min、术中出血量为(133.48±17.35)mL、术后下床活动时间为(29.17±4.08)h、住院时长为(7.05±1.53)d均较参比组优,差异有统计学意义(P<0.05)。试验组研究疾病患者治疗后的止血有效率为96.00%较参比组高,差异有统计学意义(P<0.05)。结论在对难治性产后出血患者进行治疗时,使用宫颈环扎术加球囊压迫宫腔治疗能够优化手术指标,提高止血有效率,值得在治疗难治性产后出血患者时使用。
Objective To analyze the therapeutic effect of cervical cerclage plus balloon compression of uterine cavity on refractory postpartum hemorrhage.Methods A total of 100 cases of refractory postpartum hemorrhage were randomly selected from March 2019 to March 2021 in Luoding City Maternal and Child Health Hospital during this period.The 100 patients with study diseases were divided into two different groups according to the way of single or even number of inpatient beds.Patients in the reference group were treated with cervical cerclage.The patients in the experimental group were treated with cervical cerclage plus balloon compression for hemostasis in uterine cavity.The operation indexes,hemostatic rate and rebleeding rate of patients with refractory postpartum hemorrhage in the two groups after treatment were compared.Results In the treatment for the refractory postpartum hemorrhage patients,the operation duration of the disease patients in the experimental group was(26.76±9.85)min,the intraoperative blood loss was(133.48±17.35)mL,the postoperative ambulation time was(29.17±4.08)h,and the hospitalization time was(7.05±1.53)d,which were better than those in the reference group,the differences were statistically significant(P<0.05).The hemostatic effective rate of 96.00%in the experimental group was higher than that of the reference group,the difference was statistically significant(P<0.05).Conclusion In the treatment of patients with refractory postpartum hemorrhage,the use of cervical cerclage plus balloon compression of uterine cavity treatment can optimize the surgical indicators,improve the efficiency of hemostasis,which is worthy of being used in the treatment of patients with refractory postpartum hemorrhage.
作者
黄鸿燕
刘秀珍
单丝洁
HUANG Hongyan;LIU Xiuzhen;SHAN Sijie(Department of Obstetrics,Luoding City Maternal and Child Health Hospital,Luoding Guangdong 527200,China)
出处
《中国卫生标准管理》
2022年第11期45-47,共3页
China Health Standard Management
关键词
宫颈环扎术
球囊压迫宫腔
难治性产后出血
手术时长
住院时长
止血有效率
cervical cerclage
the saccule compresses the uterine cavity
refractory postpartum hemorrhage
duration of surgery
length of stay
hemostatic efficiency
