摘要
目的比较不同球囊填塞治疗产后出血的止血效果,探讨理想的产后出血急救办法。方法将138例产后出血患者随机分为3组:A组(58例)宫腔内填塞Bakri球囊;B组(43例)填塞Sengstaken-Blakemore管;C组(37例)填塞避孕套水囊。比较各组疗效。结果三组术后24 h血红蛋白含量比较,差异无统计学意义(P>0.05)。A组操作时间、球囊在宫内留置时间和术后24 h出血量均少于B组和C组,差异有统计学意义(P<0.05)。而B组与C组比较,各项指标差异无统计学意义(P>0.05)。结论 Bakri球囊用于产后出血急救效果好、操作简便,留置时间短,值得临床推广应用。
Objective To compare the hemostatic effect of different balloon tamponade methods,and explore the emergency treatment for postpartum hemorrhage. Methods One hundred thirty-eight cases of postpartum hemorrhage were randomly divided into group A(58 cases), group B(43 cases)and group C(37 cases). Patients in group A,B and C used intrauterine tamponade of Bakri balloon,Sengstaken-Blakemore tube,and condom water sac respectively. The hemostatic effect was compared among groups. Results There was no significant difference in he-moglobin level 24 hours after the treatment among groups( P >0. 05). The operation time,indwelling time of intrauterine balloon and 24 h post-operative bleeding volume in group A were less than those in group B and group C,the differences were statistically significant(all P <0. 05);but no difference was found between group B and group C( P >0. 05). Conclusion Bakri balloon has good hemostatic effect on emergent post-partum hemorrhage with simple operation and short retention time.
出处
《临床和实验医学杂志》
2015年第17期1471-1474,共4页
Journal of Clinical and Experimental Medicine
