Abstract:【Objective】 To explore the effect of intrauterine balloon compression in the treatment of postpartum hemorrhage. 【Methods】 A total of 48 cases of postpartum hemorrhage admitted to our hospital from January 2014 to January 2016 were randomly divided into the observation group and the control group, with 24 cases in each group.Patients in the control group were given intrauterine gauze packing to stop the bleeding, while patients in the observation group were given intrauterine balloon compression hemostasis. The therapeutic effects of the two groups were observed and analyzed. 【Results】 The effective rate of hemostasis in the observation group was 100% and the effective rate of hemostasis in the control group was 62.50% (15/24). The effective rate of the observation group was significantly higher than that of the control group (P<0.05). The packing material placed time, dwelling time and removal time in observation group were (4.57±0.41) min, (10.74±2.58) h and (1.33±0.43) min, respectively, which were significantly shorter than those of the control group. The differences were statistically significant (P<0.05). The difference in postoperative normal activity time and hospitalization between the observation group and the control group patients showed no statistical significance (P>0.05). No infection and other complications were found in the observation group; however, there were 3 cases of infection in the control group after operation. 【Conclusion】 The effect of intrauterine balloon compression in the treatment of postpartum hemorrhage is better, and the method is simple and easy to use. It is worthy of clinical application.
[1] Matsubara S. Combination of an intrauterine balloon and the “holding the cervix” technique for hemostasis of postpartum hemorrhage and for prophylaxis of acute recurr[J].Acta Obstet Gynecol Scand,2013,22(6):90-92. [2] Mishra N, Shrivastava C, Agrawal S,et al. The CG balloon is an innovative condom balloon tamponade for the management of postpartum hemorrhage in low-resource settings [J].Int J Gynaecol Obstet,2016,25(5):45-47. [3] 梁晓兰. 宫腔纱布填塞术辅助治疗难治性产后出血的可行性研究[J].吉林医学,2016,32(2):374-375. [4] 高湛. 卡前列素氨丁三醇加宫腔填塞纱条在凶险型前置胎盘中的应用[J].中国妇幼保健,2012,25(36):6069-6070. [5] 陈艳平. 宫腔内放置球囊压迫对产后出血的治疗作用研究[J].实用妇科内分泌杂志(电子版),2016,22(7):111-112. [6] 宋波,吴久玲,高群,等. 农村地区305例产后出血病例高危因素分析[J].中国妇产科临床杂志,2015,25(3):199-201. [7] 丁建,连岩,王谢桐. 产后出血的保守性手术治疗[J].中国实用妇科与产科杂志,2014,35(4):265-271. [8] 魏岩,汪俊丽. 改良B-Lynch缝合术联合卡前列素氨丁三醇治疗剖宫产术中宫缩乏力性出血的临床效果与安全性探讨[J].现代仪器与医疗,2015,21(3):46-48. [9] 焦翠平,周志春. 235例产后出血的临床分析[J].中国妇产科临床杂志,2015,22(1):69-70. [10] 邓瑛,刘大艳,王洁,等. 剖宫产术中子宫收缩乏力性出血的手术止血方法及预后研究[J].中国妇幼保健,2014,25(15):2330-2332. [11] 吴婧,张吉翠,田普宁. 水囊压迫联合卡前列素氨丁三醇治疗产后出血的临床研究[J].中国计划生育和妇产科,2015,32(1):50-53. [12] 杨娉,肖俏. 宫腔水囊填塞、宫颈钳夹及阴道纱条填塞在产后出血中联合应用的价值[J].实用妇产科杂志,2015,35(6):473-475. [13] 岳嫒媛,顾宁,戴毅敏,等. 新型止血囊治疗宫缩乏力性产后出血的临床研究[J].中国妇幼健康研究,2016,25(5):619-623. [14] Pendleton A A, Natarajan A, Ahn R, et al. Emergency hysterectomy for uncontrolled postpartum hemorrhage may be averted through uterine balloon tamponade in Kenya and Senegal[J].Int J Gynaecol Obstet,2016,133(1):124-126.