子宫填塞球囊导管治疗产后出血的临床疗效

Clinical Effect of Uterine Tamponade Balloon Catheter for the Treatment of Postpartum Hemorrhage

目的探讨对产后出血患者采用Bakri子宫填塞球囊导管进行治疗的临床效果。方法选择我院2011年11月至2015年11月间接诊的产后出血患者80例为研究对象,随机分为两组各40例。对照组患者采用子宫纱布填塞法进行治疗,研究组患者采用Bakri子宫填塞球囊导管进行治疗,观察比较两组患者的临床疗效及预后。结果研究组患者的操作时间、总治疗时间均明显少于对照组,治疗后24 h血红蛋白水平明显高于对照组(P<0.05);研究组患者的止血有效率显著高于对照组,子宫切除率、子宫动脉结扎率均显著低于对照组(P<0.05)。结论采用Bakri子宫填塞球囊导管治疗产后出血患者疗效显著,值得临床推广。

Objective To explore the clinical effect of Bakri uterine tamponade balloon catheter for the treatment of postpartum hemorrhage. Methods Eighty cases of patients with postpartum hemorrhage admitted to our hospital from November 2011 to November 2015 were selected and randomly divided into two groups, with 40 cases in each group. The control group received intra-uterine pack with sterilized gauze, while the study group received Bakri uterine tamponade balloon catheter. The clinical effect and prognosis were observed and compared between two groups. Results The operation time and total therapeutic time of study group were significantly shorter than those of control group, and hemoglobin level at 24 hours after treatment was significantly higher than that of control group （P 〈0.05）. The effective rate of hemostasis of study group was significantly higher than that of control group, and the rate of hysterectomy and the rate of uterine artery ligation were significantly lower than those of control group （P〈0.05）. Conclusions Bakri uterine tamponade balloon catheter has significant efficacy for the treatment of postpartum hemorrhage, which is worthy of clinical promotion.