Clinical effect of interventional therapy in patients with intractable postpartum hemorrhage
难治性产后出血患者接受介入治疗的临床效果

摘要

目的 探讨难治性产后出血患者接受介入治疗的临床效果。方法 选取2021年1月到2022年1月我院收治的80例难治性产后出血产妇进行研究，随机分为两组，接受宫腔纱条填塞治疗的40例患者是对照组，行子宫动脉栓塞介入治疗的40例患者为观察组。结果 观察组止血用时、术后住院时间、下床活动时间、术中失血量及子宫切除率较对照组更低，凝血功能各指标和雌激素水平较对照组更优，并发症率仅为5.00%，2组相比，差异具有统计学意义（P<0.05）。结论 子宫动脉栓塞介入治疗既能在较短时间内达到有效止血的效果，又能促使患者凝血功能和雌激素水平得到进一步优化，将感染、疼痛等并发症率降低到最小范围内，值得广为运用。

Abstract

Objective: To explore the clinical effect of interventional therapy in patients with intractable postpartum hemorrhage.
Methods: 80 pregnant women with intractable postpartum hemorrhage treated in our hospital from January 2021 to January 2022 were randomly divided into two groups. 40 patients who received intrauterine gauze packing were the control group and 40 patients who underwent uterine artery embolization were the observation group.
Results: the hemostatic time, postoperative hospital stay, out of bed activity time, intraoperative blood loss and hysterectomy rate in the observation group were lower than those in the control group, the indexes of coagulation function and estrogen level were better than those in the control group, and the complication rate was only 5.00%. The difference between the two groups was statistically significant (P < 0.05).
Conclusion  : uterine artery embolization and interventional therapy can not only achieve the effect of effective hemostasis in a short time, but also further optimize the coagulation function and estrogen level of patients, and reduce the incidence of complications such as infection and pain to a minimum. It is worthy of wide application.