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目的:对比水囊压迫与纱布填塞治疗剖宫产术中大出血的疗效。方法:剖宫产术中大出血产妇60例根据治疗方法的不同分为治疗组30例与对照组30例,对照组采用纱布填塞治疗,治疗组采用水囊压迫治疗。结果:2组都无死亡与切除子宫产妇,治疗组有效率96.7%,对照组有效率为80.0%,治疗组的临床有效率明显高于对照组(P<0.05)。治疗组术后48小时出血量明显少于对照组,差异有统计学意义(P<0.05)。结论:相对于纱布填塞,水囊压迫治疗剖宫产术中大出血能有效提高治疗疗效,减少总体出血量。
OBJECTIVE: To compare the efficacy of balloon compression and gauze packing in the treatment of major bleeding in cesarean section. Methods: 60 cases of maternal bleeding in cesarean section were divided into treatment group (30 cases) and control group (30 cases). The control group was treated with gauze packing, and the treatment group was treated with water bag compression. Results: There was no death or excision of uterus in both groups. The effective rate was 96.7% in the treatment group and 80.0% in the control group. The clinical effective rate in the treatment group was significantly higher than that in the control group (P <0.05). The bleeding volume of the treatment group 48 hours after operation was significantly less than that of the control group, the difference was statistically significant (P <0.05). Conclusion: Compared with the gauze packing, the compression of the water sac in the treatment of cesarean section bleeding can effectively improve the curative effect and reduce the total amount of bleeding.