水囊压迫与纱布填塞治疗产后大出血在我国基层医院的应用效果

水囊压迫与纱布填塞治疗产后大出血在我国基层医院的应用效
果
吴琼丽
【期刊名称】《中国医药导报》
【年(卷),期】2015(000)021
【摘要】目的：分析水囊压迫与纱布填塞治疗产后大出血在我国基层医院的应用
效果。

方法选择重庆市云阳县人民医院2012年1月~2014年12月产后大出血患者49例为研究对象，根据治疗方式不同将其分为纱布组（27例）和水囊组（22例）。

纱布组给予纱布填塞压迫止血，水囊组患者给予水囊压迫止血。

观察并记录两组患者的手术时间、止血显效时间、宫腔填塞物留置时间、有效率及再出血和感染发生率。

结果水囊组手术时间[（2.4±0.6）min]及水囊滞留时间[（17.9±4.5）h]、显效时间[（2.5±0.8）min]明显少于纱布组[（4.1±1.3）min、（26.2±9.6）h、（4.9±1.1）min]，差异均有统计学意义（P<0.05）；水囊组再出血、子宫切除及感染发生率（9.1%、0.0%、4.5%）明显低于纱布组（18.5%、3.7%、
11.1%），差异均有统计学意义（P<0.05或P<0.01）。

水囊组有效率为90.9%，明显高于纱布组（77.8%），差异有统计学意义（P<0.05）。

结论产后大出血水
囊压迫止血效果明显优于纱布填塞，起效快、并发症少，且对术者的技术要求不高，值得在基层医院推广应用。

%Objective To analyze the application effect of cystic oppression and gauze packing in the treatment of postpartum hemorrhage in basic-level hospitals in our country. Methods 49 patients with postpartum hemorrhage from January 2012 to December 2014 in the People's Hospital of Yunyang County were selected as the research objects,
according to different treatment they were divided into the gauze group (27 cases) and cystic oppression group (22 cases). Patients of the gauze oppression group were given gauze oppression hemostasis, patients of the cystic oppression group were givencystic oppression hemostasis. The operation time, effectual time, indwelling time, efficient and incidence of further hemorrhage and infection of patients in two groups were observed and recorded. Res ults The operation time [(2.4±0.6) min] and indwelling time [(17.9±4.5) h], effectual time [(2.5±0.8) min] of the cystic oppression group were significantly less than those of the gauze group [(4.1±1.3) min, (26.2±9.6) h, (4.9±1.1) min], the differences we re statistically significant (P<0.05);the incidence of further hemorrhage hysterectomy, and infection of the cystic oppression group (9.1%, 0.0%, 4.5%) were lower than those of the gauze group (18.5%, 3.7%, 11.1%), the differences were statistically significant (P<0.05 or P<0.01). Effective rate of the cystic oppression group was 90.9%, which was significantly higher than that of the gauze group (77.8%), the difference was statistically significant (P< 0.05). Conclusion Cystic oppression has better hemostasis effect in postpartum hemorrhage compared with gauze packing, its quick effect, fewer complications and less technical requirements to operator, it is worthy of popularization and application in basic-level hospitals.
【总页数】4页(P79-82)
【作者】吴琼丽
【作者单位】重庆市云阳县人民医院妇产科，重庆 404500
【正文语种】中文
【中图分类】R719.8
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