目的探讨宫腔水囊填塞、宫颈钳夹和阴道纱条填塞联合应用于产后出血的临床效果。方法 96例产后出血高危患者,随机分为对照组和观察组,每组48例。对照组采取宫腔内填塞纱条治疗,观察组采取宫腔水囊塞、宫颈钳夹和阴道纱条填塞联合治疗,比较两组的治疗效果。结果观察组止血所需时间为(4.8±1.6)min,对照组止血所需时间为(13.5±1.5)min,比较差异有统计学意义(P<0.05)。观察组产后24 h出血量为(80.5±30.5)ml,对照组产后24 h出血量为(95.5±32.5)ml,比较差异有统计学意义(P<0.05)。观察组感染发生率为2.1%,对照组感染发生率为4.2%,比较差异无统计学意义(P>0.05)。结论宫腔水囊填塞、宫颈钳夹和阴道纱条填塞联合应用于产后出血治疗中,可明显缩短止血时间,减少产后出血量。 Objective To investigate the clinical effect of intrauterine aqueduct packing, cervical clamp and vaginal gauze packing on postpartum hemorrhage. Methods A total of 96 high-risk patients with postpartum hemorrhage were randomly divided into control group and observation group, 48 cases in each group. The control group was treated with intrauterine packing gauze, and the observation group was treated with intrauterine water plug, cervical clamp and vaginal gauze packing. The therapeutic effect was compared between the two groups. Results The time required for the hemostasis in the observation group was (4.8 ± 1.6) min and that in the control group was (13.5 ± 1.5) min, with statistical significance (P <0.05). The amount of bleeding in the observation group was (80.5 ± 30.5) ml at 24 hours postpartum and that in the control group (95.5 ± 32.5) ml at 24 hours postpartum. The difference was statistically significant (P <0.05). The incidence of infection in the observation group was 2.1%, while the incidence of infection in the control group was 4.2%, the difference was not statistically significant (P> 0.05). Conclusions The combination of uterine cavity water bag filling, cervical clamp and vaginal gauze packing can be applied in the treatment of postpartum hemorrhage, which can shorten the time of hemostasis and reduce the amount of postpartum hemorrhage.