Bakri止血球囊放置在治疗产后出血中的可行性及安全性  

Feasibility and safety of Bakri hemostasis balloon placement treatment of postpartum hemorrhage

作　　者：林丽虹[1] 鹿榕[1] 尹保民[1] 

机构地区：[1]广东省珠海市妇幼保健院,广东珠海519000

出　　处：《中国医药科学》2015年第24期88-90,99,共4页China Medicine And Pharmacy

摘　　要：目的探讨Bakri止血球囊放置在治疗产后出血中的可行性及安全性。方法选取我院2013年6月-2014年12月接受治疗的71例产后出血患者,据止血方案的不同分为研究组（n=36）和对照组（n=35）。研究组患者采用Bakri止血球囊给与治疗,对照组患者给予宫腔填塞纱条进行治疗。记录两组患者术前出血量、产后2h、24h出血量、血色素下降量、输血量以及围手术期手术时间、护理时间、住院时间、术后患者情况等指标,并比较两组患者的止血成功率。结果研究组患者的产后出血量、血色素下降、输血量明显优于对照组,研究组患者的成功止血率100.0%,明显高于对照组69.4%,差异具有统计学意义（x2=12.9836,P〈0.05）,两组患者的输血量相比较,差异无统计学意义（P〉0.05）。研究组患者的手术时间、住院时间、术后护理时间与对照组相比,差异具有统计学意义（P〈0.05）;研究组患者的月经恢复、术后产褥发生、ICU入住等情况与对照组相比,差异无统计学意义（P〉0.05）。结论 Bakri止血球囊放置是一种快捷方便、安全有效的治疗产后出血的方法。Objective To study the feasibility and safety of Bakri hemostasis balloon placement in the treatment of postpartum Hemorrhage. Methods 71 patients with postpartum hemorrhage,who were received and cured in our hospital from June 2013 to December 2014,were selected and were divided into study group（n=36） and control group（n=35） according to different hemostasis scheme.Patients in study group were treated with Bakri hemostasis balloon,while patients in control group were treated with intrauterine packing with gauze.To record the preoperative blood loss,the blood loss after postpartum 2h and 24 h,the declining contents of hemoglobin,the transfusion volume,and operation time, nursing time,hospitalization time in perioperative period,and postoperative condition and so on between the two groups,to compare the success rate of hemostasis of patients between the two groups. Results The postpartum hemorrhage amount,the declining contents of hemoglobin,the transfusion volume of patients in study group were obviously better than which in control group,the success rate of hemostasis of patients in study group 100% was obviously higher than which in control group 69.4%,the difference had statistical significance（x2 =12.9836,P〈 0.05）,while the differences of transfusion volume between the two groups was no statistical significance（P〈 0.05）. The differences of the operation time,the hospitalization time,the postoperative nursing time of patients in study group had obviously statistical significance compared with which in control group（P〈 0.05）,while the differences of the condition of the menstruation recovery,the occurrence of postoperative puerperal,and the stay in ICU of patients in study group was no statistical significance compared with which in control group（P〈 0.05）. Conclusion Bakri hemostasis balloon placement is a fast convenience, safe effective method to treat postpartum hemorrhage.

关 键 词：Bakri止血球囊 产后出血 止血成功率 可行性 

分 类 号：R714.461[医药卫生—妇产科学]