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Effectiveness of the balloon tamponade in treatment of postpartum hemorrhage of lower uterine segment |
ZOU Jinfang ZHANG Xia LI Xiaodan |
Department of Maternity, Wuxi Maternal and Child Health Hospital, Jiangsu Province, Wuxi 214002, China |
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Abstract Objective To study the therapeutic effect of balloon tamponade in the treatment of postpartum hemorrhage of the lower uterine segment. Methods From October 2015 to October 2017, in Wuxi Maternal and Child Health Hospital, 60 patients with postpartum hemorrhage of the lower uterine segment were selected, according to random number table method, they were divided into observation group and control group, with 30 cases in each group. The control group received Oxytocin+Carboprost tromethamine intrauterine injection therapy, the observation group received balloon tamponade treatment based on the control group. The general condition, hemostasis effect, perioperative blood loss, postoperative recovery, postoperative complications of two groups were recorded and compared. Results The hemostatic effect in observation group was better than control group, the difference was statistically significant (P < 0.05). The blood loss during the operation, 2 h after operation, 24 h after operation in observation group were lower than control group, the differences were statistically significant (P < 0.01). The abnormal temperature time, menstrual recovery time and blood lochia time in observation group were significantly less than control group, the differences were statistically significant (P < 0.01). Incidence of adverse reactions in observation group was less than control group, the difference was statistically significant (P < 0.05). Conclusion The balloon tamponade can be used in treatment of postpartum hemorrhage of lower uterine segment by improving the hemostatic effect, it is worthy of clinical application.
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