Bakri止血球囊治疗前置胎盘产后出血的临床研究  

Using Bakri hemostatic balloon in treatment of postpartum hemorrhage in patients with placenta praevia: a clinical research

作　　者：叶建明[1] 

机构地区：[1]东莞市人民医院妇产科,广东东莞523000

出　　处：《广州医科大学学报》2015年第3期101-103,共3页Academic Journal of Guangzhou Medical University

摘　　要：目的:对比Bakri止血球囊与传统缝合结合宫内填纱治疗前置胎盘产后出血的临床疗效。方法:选取2012年7月-2014年10月本院收治的37例前置胎盘产后出血患者作为研究对象,根据治疗方法将患者分为两组,对照组20例采用B-Lynch缝合结合宫内填纱治疗,观察组17例采用Bakri止血球囊治疗,记录两组止血成功率、术中出血量、术后24 h出血量、输血量及月经改善情况,记录术后并发症发生率。结果:观察组止血成功率为94.12%,显著高于对照组的65.0%(P<0.05),术后并发症发生率为17.65%,显著低对照组的50.0%(P<0.05);观察组术中出血量、术后24 h出血量及输血量分别为(1089.63±16.32)m L、(1241.20±12.20)m L、(1086.31±169.21)m L,均显著低于对照组(P<0.05)。结论:Bakri止血球囊治疗治疗前置胎盘产后出血,能够提高止血成功率,减少术中及术后出血量。Objective： To compare the clinical effect between Bakri hemostatic balloon and conventional suture combined with intrauterine packing in the treatment of postpartum hemorrhage in patients with placenta praevia. Methods： Thirty-seven patients with placenta praevia experienced postpartum hemorrhage and hospitalized in our hospital were included as the subjects in the study. All patients were divided into two groups according to different therapies. The control group（ n = 20） and study group（ n = 17） received the treatment of BLynch suture combined with intrauterine packing and Bakri hemostatic balloon,respectively. The success rate of hemostasis,intraoperative blood loss,blood loss at 24 h after operation,blood transfusions,menstrual improvement and incidence of postoperative complications in the two groups were recorded. Results： The success rate of hemostasis in the study group was significantly higher than that in the control group（ 94. 12% vs. 65. 0%）,and the incidence of postoperative complications in the study group was significantly lower than that in the control group（ 17.65% vs. 50. 0%）,with statistically significant differences（ P〈0. 05）. The intraoperative blood loss,blood loss at 24 h after operation and blood transfusions in the study group were（ 1089.63±16.32） m L,（ 1241.20±12.20） m L,（ 1086.31± 169.21） m L,respectively,which were lower than those in the control group（ P〈0. 05）.Conclusion： Using Bakri hemostatic balloon can improve the success rate of hemostasis and reduce intraoperative and postoperative blood loss in the treatment of postpartum hemorrhage in patients with placenta praevia.

关 键 词：前置胎盘 产后出血 宫内填纱 止血时间 

分 类 号：R714.46[医药卫生—妇产科学]