Foley导尿管球囊压迫术联合子宫下段缩窄术预防产后出血

发布时间：2018-10-05 08:49

【摘要】：目的探讨剖宫产术中,有子宫下段收缩乏力高危因素者应用Foley导尿管球囊压迫联合子宫下段缩窄术预防产后出血的临床效果。方法回顾分析2015年1月至2016年8月在大连市妇产医院住院的单胎足月初产妇,剖宫产终止妊娠且有子宫下段宫缩乏力高危因素患者62例,其中A组28例术中行Bakri球囊压迫,B组34例行Foley导尿管球囊压迫,两组产妇均行子宫下段缩窄术,均无内、外科合并症,凝血功能无明显异常,年龄、孕周、体重指数、胎儿体重、术前血红蛋白、术中失血量、球囊容量、放置时间差异均无统计学意义。观察患者术后宫腔引流量,术前术后血红蛋白等变化,评估Foley导尿管球囊压迫联合子宫下段缩窄术的临床效果。结果 A组与B组术后宫腔引流量比较,差异无统计学意义(P0.05);A组与B组术后血红蛋白较术前丢失量差异无统计学意义(P0.05)。结论 Foley导尿管球囊压迫术禁忌证少、创伤性小、经济、效果确切、灵活、可塑性好,联合子宫下段缩窄术可有效预防产后出血。
[Abstract]:Objective to investigate the clinical effect of Foley catheter balloon compression combined with lower uterine segment constriction during cesarean section for the prevention of postpartum hemorrhage. Methods from January 2015 to August 2016, 62 cases of single term primipara who were hospitalized in Dalian Obstetrics Hospital by cesarean section were analyzed. In group A, 28 cases were treated with Bakri balloon compression during operation, 34 cases of group B were treated with Foley catheter balloon compression, and the two groups were treated with constriction of lower segment of uterus without intrauterine constriction, surgical complications, no obvious abnormality of coagulation function, age, gestational week, body mass index, age, gestational week, body mass index. There was no significant difference in fetal weight, preoperative hemoglobin, intraoperative blood loss, balloon volume and placement time. The clinical effect of Foley catheter balloon compression combined with lower uterine segment constriction was evaluated by observing the changes of postoperative uterine drainage volume and hemoglobin before and after operation. Results there was no significant difference in intrauterine drainage volume between group A and group B (P0.05). There was no significant difference in hemoglobin loss between group A and group B (P0.05). Conclusion Foley catheter balloon compression has few contraindications, small traumatic, economical, effective, flexible, and good plasticity. Combined with lower uterine segment constriction can effectively prevent postpartum hemorrhage.
【作者单位】：大连市妇产医院;
【分类号】：R714.461

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