张文艳

[摘要] 目的 探讨自制简易水囊治疗产后出血的效果。 方法 选取2012年6月～2014年6月本院收治的64例产后出血患者作为研究对象，随机分为观察组和对照组，各32例。观察组给予自制简易水囊压迫止血治疗，对照组给予宫腔纱条填塞止血治疗。比较两组的显效时间、留置时间、操作时间、治疗之后阴道出血量、并发症发生率以及住院时间。 结果 观察组的操作时间、留置时间、住院时间显著短于对照组，差异有统计学意义（P<0.05）。两组术后12 h阴道出血量比较，差异无统计学意义（P>0.05）。两组并发症发生率比较，差异无统计学意义（P>0.05）。观察组的治疗效果显著高于对照组，差异有统计学意义（P<0.05）。 结论 自制简易水囊治疗产后出血效果显著，值得临床推广应用。

[关键词] 产后出血；自制简易水囊；出血量

[中图分类号] R714.46+1 [文献标识码] A [文章编号] 1674-4721（2016）02（a）-0100-03

Clinical research of homemade improvised water sac in the treatment of postpartum hemorrhage

ZHANG Wen-yan

Department of Obstetrics，Maternal and Child Health Care Hospital of Luoding City in Guangdong Province，Luoding 527200，China

[Abstract] Objective To explore the effect of homemade improvised water sac in the treatment of postpartum hemorrhage. Methods 64 postpartum hemorrhage patients from July 2012 to July 2014 in our hospital were selected and randomly divided into the observation group and the control group，32 cases in each group.The observation group was treated with homemade improvised water sac，the control group was treated with intrauterine filled with gauze.The effective time，indwelling time，operation time，vaginal bleeding volume after treatment，the incidence rate of complication and hospitalization time in two groups was compared respectively. Results The operation time，indwelling time and hospitalization time in the observation group was shorter than that in the control group，with significant difference （P<0.05）.There was no significant difference in the amount of vaginal bleeding between the two groups after operation of the 12 hours （P>0.05）.There was no significant difference in the incidence rate of complication between the two groups（P>0.05）.The treatment effect of the observation group was higher than that of the control group，with significant difference （P<0.05）. Conclusion The effect of homemade improvised water sac in the treatment of postpartum hemorrhage is significant，it is worthy of clinical promotion and application.

[Key words] Postpartum hemorrhage；Homemade improvised water sac；Bleeding volume

产后出血是引起产妇死亡的重要因素，其发病率占总分娩人数的2%～3%，选取快速有效的止血方案是产科医生一直关注的话题[1-3]。目前，治疗产后出血的常规方式包括使用宫缩剂以及按摩子宫等，如果常规方式没有效果，患者阴道依然大量出血或是存在大出血倾向，应采取宫腔纱条填塞，这是近年来比较有效的止血方式[4-6]。本研究选取本院的产后出血患者作为研究对象，探讨自制简易水囊治疗产后出血的效果。

1 资料与方法

1.1 一般资料

选取2012年6月～2014年6月本院收治的64例产后出血患者作为研究对象，均排除胎盘植入、凝血功能障碍、产道裂伤患者，其中子宫收缩乏力54例，胎盘早剥5例，边缘性前置胎盘5例。所有患者均符合产后出血标准，胎儿阴道娩出后24 h内失血量>500 ml，剖宫产时>1000 ml，通过按摩子宫以及使用宫缩素等方式无效，患者的阴道平均出血量为（649±230） ml。将入选患……