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目的:观察子宫填塞球囊导管治疗产后出血的效果。方法:将佛山市南海区狮山镇罗村医院妇产科2016年1月至12月收治的产后出血患者90例分成两组,45例对照组应用常规宫内纱布填塞的止血方式,45例观察组患者采取Bakri子宫填塞球囊导管的止血措施,比较两组产后出血患者的临床指标与预后。结果:观察组、对照组的止血操作时间分别为(14.8±3.2)min、(35.4±6.5)min;总治疗时间分别为(17.6±2.4)h、(24.8±1.2)h;治疗24 h后的血红蛋白水平分别为(105.4±13.5)g·L(-1)、(84.3±10.2)g·L(-1),组间数据比较,差异具有统计学意义(P<0.05)。观察组成功止血39例(86.7%)、子宫动脉结扎4例(8.9%)、子宫切除2例(4.4%),对照组成功止血11例(24.4%)、子宫动脉结扎22例(48.9%)、子宫切除12例(26.7%),预后情况比较,差异具有统计学意义(P<0.05)。结论:在产后子宫出血患者中采取Bakri子宫填塞球囊导管的止血方式,效果理想,止血成功率高,操作方便、预后良好。
Objective: To observe the effect of womb balloon catheter on postpartum hemorrhage. Methods: Ninety cases of postpartum hemorrhage admitted from January 2016 to December 2016 in Shuxian Hospital of Shishan Town, Nanhai District, Foshan City were divided into two groups, 45 cases in control group were treated with conventional intrauterine gauze packing and 45 cases The patients in the observation group took the hemostasis measures of Bakri uterus balloon catheter, and compared the clinical indexes and prognosis of the two groups in postpartum hemorrhage. Results: The operation time of hemostasis in observation group and control group were (14.8 ± 3.2) min and (35.4 ± 6.5) min, respectively. The total treatment time was (17.6 ± 2.4) and (24.8 ± 1.2) Hemoglobin levels were (105.4 ± 13.5) g · L -1 and (84.3 ± 10.2) g · L -1, respectively. There was significant difference between the two groups (P <0.05). In the observation group, 39 cases (86.7%) successfully performed hemostasis, 4 cases (8.9%) were uterine artery ligation, 2 cases (4.4%) were hysterectomy, 11 cases (24.4% , Hysterectomy in 12 cases (26.7%), prognosis, the difference was statistically significant (P <0.05). Conclusion: The way of hemostasis of Bakri uterus balloon catheter in postpartum patients with uterine bleeding is satisfactory, the success rate of hemostasis is high, and the operation is convenient and the prognosis is good.