三种球囊填塞方法在产后出血急救中的应用比较  

Application of the three kinds of balloon tamponade methods in emergency of postpartum hemorrhage

作　　者：田冬梅[1] 杨洋[1] 李华丽[1] 

机构地区：[1]西安医学院第一附属医院产科,西安710077

出　　处：《山西医科大学学报》2012年第11期851-853,861,共4页Journal of Shanxi Medical University

基　　金：陕西省教育厅科学研究基金资助项目(12JK0770)

摘　　要：目的比较三种球囊填塞(避孕套水囊、Foley导尿管宫腔填塞、Sengstaken-Blakemore管)应用于产后出血中的止血效果。方法我们将92例患者随机分为三组:避孕套组(宫腔内填塞避孕套水囊,n=30),导尿管组(宫腔内填塞Foley导尿管气囊,n=31),三腔两囊管组(宫腔内填塞Sengstaken-Blakemore管,n=31)。比较三种止血方法的疗效。结果三组间出血量、手术时间均无明显差异,但导尿管组和三腔两囊管组在宫腔填塞留置时间方面均短于避孕套组(P<0.05);三腔两囊管组在监测止血效果方面要优于导尿管组及避孕套组。结论 Foley导尿管与Sengstaken-Blakemore管用于产后出血急救效果佳,操作简便,留置时间短;避孕套水囊成本低,止血效果较好,可在基层医院推广;而Sengstaken-Blakemore管在评估压迫止血效果可控性方面要优于其他球囊压迫止血方法。Objective To compare the hemostatic effects of the three balloon tamponade methods（condom balloon, Foley catheter uter-ine tamponade,Sengstaken-Blakemore tube） in the postpartum hemorrhage. Methods Ninety-two patients were randomly divided into three groups ： condoms group （ intrauterine tamponade condom, n = 30）, catheter group （ intrauterine tamponade Foley catheter balloon, n = 31 ）, three-chamber two-balloon catheter group （intrauterine tamponade Sengstaken-Blakemore tube, n = 31 ）. The efficacy of the three methods in stopping bleeding was compared. Results The postoperative bleeding volume and operation time were not signifi- cantly different among three groups. The time of retention in catheter group and three-cavity two-balloon catheter group was shorter than that in condoms group （ P 〈0. 05）. The three-chamber two-balloon catheter was superior to catheter and condoms in monitoring the bleeding. Conclusion Foley catheter and Sengstaken-Blakemore tube have a good first-aid effect in postpartum hemorrhage with sim-ple operation and shorter retention time. The condom balloon could be widely used in the basic hospitals due to the lower cost. The Sengstaken-Blakemore tube in the controllability of hemostasis is superior to condom balloon and Foley catheter.

关 键 词：球囊填塞 产后出血 急救 

分 类 号：R714.461[医药卫生—妇产科学]