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作 者:张燕菲[1] 黄小霞[1] 贾金平[1] 徐凤仪[1] 邱敏玲[1]
机构地区:[1]广州市花都区妇幼保健院,广东广州510800
出 处:《现代医院》2014年第2期50-52,共3页Modern Hospitals
摘 要:目的研究分析近四年在我院分娩的孕产妇,探讨Bakri球囊填塞术在产后出血中的应用。方法回顾性分析在我院分娩的27357名孕产妇病历,以2010~2012年三年间在我院分娩的孕产妇为对照组,2013年分娩的孕产妇为研究组。结果2013年研究组中产后出血发生率及产科急诊子宫切除率均明显低于对照组,差异均有统计学意义(x2值分别为16.56、3.26,P值分别为0.000、0.029),(均P〈0.005);2013年研究组中Bakri球囊填塞术明显高于对照组,差异有统计学意义(x2=39.65,P=0.000)。结论Bakri球囊填塞术可降低产科急诊子宫切除率;阴道塞纱/宫腔塞纱术可降低产后出血率。Objective Through research and analyze the pregnant women delivered in our hospital in the four years from January 2010 to December 2013 to explore the usage of Bakri ballon in the treatment of postpartum hemorrhage. Method Retrospectively analyzed 27 357 patients in our hospital delivered in nearly four years. The patients in the three years from January 2010 to December 2012 were control group, The patients in 2013 were research group. Result First, the incidence of postpartum hemorrhage and the emergency obstetric hysterectomy in 2013 were both obviously lower than control group, ( X2 = 16.56,3.26 ,p = 0.000,0. 029 ) ; Second, the usage rate in research group was significantly higher than in the control group, ( X2 = 39.65,p = 0.000 ). Conclusion Firstly, Bakri balloon can reduce the incidence of obstetrical emergency hysterectomy. Secondly, the use of plugging the yarn in vagina/uterine cavity could reduce the incidence of postpartum hemorrhage rate.
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