中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
19期
22-23
,共2页
产后出血%宫缩乏力%宫腔填塞%治疗
產後齣血%宮縮乏力%宮腔填塞%治療
산후출혈%궁축핍력%궁강전새%치료
Postpartum hemorrhage%Uterine inertia%Uterine packing%Treatment
目的：探讨采用不同的宫腔填塞止血方法治疗阴道分娩产后出血的临床效果。方法：回顾分析2007年6月-2012年6月在本院阴道分娩后2 h 内，出现宫缩乏力性产后出血患者50例，分为研究组（腔水囊填塞+阴道纱条填塞组）和对照组（宫腔填纱组）各25例，观察两组手术操作时间、止血时间、止血显效时间、填塞物留置体内时间、产褥病率、填塞失败率、子宫切除例数等。结果：研究组的填塞物置入时间、填塞物留置时间、止血显效时间明显缩短，止血有效率明显提高，与对照组比较差异有统计学意义（P<0.05），研究组的填塞失败率明显低于对照组（P<0.05），两组子宫切除率及产褥病率差异无统计学意义（P>0.05）。结论：宫腔水囊填塞+阴道填纱治疗产后出血方法取材方便，操作简单，疗效肯定，比较适用于基层医院阴道分娩产后早期子宫收缩乏力所致的产后出血者。
目的：探討採用不同的宮腔填塞止血方法治療陰道分娩產後齣血的臨床效果。方法：迴顧分析2007年6月-2012年6月在本院陰道分娩後2 h 內，齣現宮縮乏力性產後齣血患者50例，分為研究組（腔水囊填塞+陰道紗條填塞組）和對照組（宮腔填紗組）各25例，觀察兩組手術操作時間、止血時間、止血顯效時間、填塞物留置體內時間、產褥病率、填塞失敗率、子宮切除例數等。結果：研究組的填塞物置入時間、填塞物留置時間、止血顯效時間明顯縮短，止血有效率明顯提高，與對照組比較差異有統計學意義（P<0.05），研究組的填塞失敗率明顯低于對照組（P<0.05），兩組子宮切除率及產褥病率差異無統計學意義（P>0.05）。結論：宮腔水囊填塞+陰道填紗治療產後齣血方法取材方便，操作簡單，療效肯定，比較適用于基層醫院陰道分娩產後早期子宮收縮乏力所緻的產後齣血者。
목적：탐토채용불동적궁강전새지혈방법치료음도분면산후출혈적림상효과。방법：회고분석2007년6월-2012년6월재본원음도분면후2 h 내，출현궁축핍력성산후출혈환자50례，분위연구조（강수낭전새+음도사조전새조）화대조조（궁강전사조）각25례，관찰량조수술조작시간、지혈시간、지혈현효시간、전새물류치체내시간、산욕병솔、전새실패솔、자궁절제례수등。결과：연구조적전새물치입시간、전새물류치시간、지혈현효시간명현축단，지혈유효솔명현제고，여대조조비교차이유통계학의의（P<0.05），연구조적전새실패솔명현저우대조조（P<0.05），량조자궁절제솔급산욕병솔차이무통계학의의（P>0.05）。결론：궁강수낭전새+음도전사치료산후출혈방법취재방편，조작간단，료효긍정，비교괄용우기층의원음도분면산후조기자궁수축핍력소치적산후출혈자。
Objective:To investigate the clinical effect of using different uterine packing hemostatic methods to treat postpartum hemorrhage undergoing vaginal delivery. Method:50 patients with postpartum hemorrhage caused by uterine inertia and undergone vaginal delivery in two hours were analyzed retrospectly in the hospital from June 2007 to June 2012. They were divided into the study group(uterine hyponome packing + vagina gauze packing group n=25)and the control group(uterine packing group n=25).The operative time,the hemostatic time,the hemostatic effective time, the wadding indwelled time,the puerperal rate,the wadding failure rate,and the hysterectomy cases were observed in the two groups. Result:The wadding implanted time,the wadding indwelled time and the hemostatic effective time in the study group decurtated significantly and the hemostatic effect improved remarkably. There were significant difference between the two groups(P< 0.05). The wadding failure rate in the control group was higher and was significant difference between the two groups(P<0.05). The hysterectomy rate and the puerperal infection in the control group were higher and no significant difference between the two groups(P>0.05). Conclusion:The method of uterine hyponome packing and virginal gauze packing is easy to draw the materials and operate and the treatment is positive. These methods apply to the patients with postpartum hemorrhage caused by uterine inertia in earlier period undergoing vaginal delivery in basic hospitals.
