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·腹部疾病·

Bakri子宫填塞球囊导管在产后出血中的应用价值

作者:何 裕1 孟宏霞2

所属单位:1.广东省江门市江海区中西医结合医院 (广东 江门 529060) 2.广东省江门市妇幼保健院 (广东 江门 529000)

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摘要

目的 探究Bakri子宫填塞球囊导管在产后出血中的应用效果,评价其临床应用价值。方法 选择我院妇产科2014年3 月-2016年3月收治的30例产后出血患者为研究对象,随机分为观察组和对照组,每组15例,观察组应用Bakri子宫 填塞球囊导管压迫止血,对照组在患者宫腔填塞纱布止血,比较观察组和对照组的临床治疗效果。结果 观察组患 者治疗过程操作时间短于对照组,差异显著具有统计学意义(P<0.05);术中出血量观察组低于对照组、治疗后 24h患者血红蛋白观察组高于对照组(P<0.05);观察组子宫动脉结扎及子宫切除率明显低于对照组,差异具有统 计学意义(P<0.05)。结论 Bakri子宫填塞球囊导管应用于产后出血治疗时间短,术中出血少,患者恢复快,止 血效果好,同时能降低子宫动脉结扎、子宫切除的风险,有较高的临床应用价值。

Objective To explore the application of Bakri's uterine balloon catheter in postpartum hemorrhage and evaluate its clinical value. Methods 30 cases of postpartum hemorrhage admitted in our hospital from March 2014 to March 2016 were randomly divided into observation group and control group, 15 cases in each group. The observation group using Bakri uterine packing balloon Catheter compression hemostasis, and control group in patients with uterine packing gauze hemostasis, comparison observation group and control group clinical treatment effect. Results The operation time of observation group was shorter than that of control group, the difference was statistically significant (P<0.05). The blood loss in observation group was lower than that in control group, and the level of hemoglobin in observation group was higher than that in control group (P<0.05). The rate of uterine artery ligation and hysterectomy in the observation group was significantly lower than that in the control group (P<0.05). Conclusion Bakri uterine artery balloon catheter can be used in the treatment of postpartum hemorrhage for a short time, less intraoperative blood loss, quicker recovery, better hemostasis, and lower risk of uterine artery ligation and hysterectomy, which has a high clinical value.

【关键词】Bakri球囊;产后出血;应用价值

【中图分类号】R714.69

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2017.01.019

前言

管压迫止血能够保持人体解剖结构不被破坏,而且对 子宫的完整性保持较好。该方法在欧美发达国家已 经得到了广泛应用。本研究选择我院妇产科2014年 3月~2016年3月收治的30例产后出血患者为研究对 象,探究Bakri子宫填塞球囊导管在产后出血中的应 用价值,取得了满意的治疗效果,现在作如下报道。产后出血是妇产科临床常见的并发症[1],也是导 致产妇死亡的主要原因[2]。产后出血常见原因有子宫 收缩乏力、软产道损伤、凝血功能异常等[3]。传统止 血方法首选宫缩剂和徒手按摩子宫,治疗药物主要有 缩宫素、前列腺素、卡孕栓、钙剂等,主要是促进子 宫收缩止血。经过治疗后出血仍不能控制者,根据出 血原因、出血速度和出血量的不同选择子宫填塞、子 宫压迫止血缝合术、子宫动脉结扎、子宫动脉栓塞 至子宫切除。保守治疗有一定的效果,但是会对人 体解剖结构造成一定的影响。Bakri子宫填塞球囊导