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目的探讨宫腔水囊压迫止血治疗剖宫产术后及产后大出血的临床效果。方法 68例剖宫产术后产后出血患者,随机分为观察组和对照组,各34例。两组患者均给予子宫注射缩宫素+肌内注射垂体后叶素,观察组患者在此基础上采用宫腔水囊压迫法止血,比较两组患者治疗疗效、显效时间、术后48 h出血量。结果两组患者均治疗成功,无采用子宫切除术及死亡患者。观察组有效率(97.06%)明显高于对照组(70.59%),差异有统计学意义(P<0.05);观察组术后48 h出血量明显低于对照组,差异有统计学意义(P<0.01)。结论宫腔水囊压迫法止血操作简单,止血效果显著,是快速、简便、有效的止血方法 ,值得临床推广运用。
Objective To investigate the clinical effect of intrauterine balloon compression hemostasis in treating cesarean section and postpartum hemorrhage. Methods Sixty-eight patients with postpartum hemorrhage after cesarean section were randomly divided into observation group and control group, with 34 cases in each group. Both groups were given uterine injection of oxytocin + intramuscular injection of vasopressin, the observation group on the basis of the intrauterine balloon compression method to stop bleeding, the curative effect of two groups were compared, the effective time, bleeding after 48 h the amount. Results Both groups were successfully treated without hysterectomy and death. The effective rate in observation group (97.06%) was significantly higher than that in control group (70.59%), the difference was statistically significant (P <0.05); the bleeding volume in observation group was significantly lower than that in control group at 48 h after operation <0.01). Conclusions The intrauterine balloon compression method is a simple, convenient and effective hemostatic method with simple hemostasis effect and worthy of clinical application.