宫腔放置球囊压迫在剖宫产术中产后出血的应用研究  

The Application Research of Postpartum Hemorrhage in the Cesarean Section by the Intrauterine Balloon Compression

作　　者：林珏莹[1] 

机构地区：[1]广东省揭阳市人民医院,广东揭阳522000

出　　处：《中国医学创新》2017年第10期17-20,共4页Medical Innovation of China

基　　金：广东揭阳科技计划项目(201611)

摘　　要：目的:探究宫腔放置球囊压迫(Bakri球囊压迫术)在剖宫产术中产后出血的应用价值。方法:选择2010年2月-2017年2月本院收治的宫产术中产后出血患者44例,按治疗方式不同分为观察组(25例)和对照组(19例)。观察组患者实施Bakri球囊压迫术治疗,对照组实施宫腔纱条填塞止血法治疗。比较两组患者手术情况、临床疗效、产后感染情况及并发症发生情况。结果:观察组产后出血量、手术时间、住院时间、输血量与对照组相比均有明显降低,差异有统计学意义(P<0.05);观察组患者治疗有效率明显高于对照组,产后感染发生率低于对照组,差异均有统计学意义(P<0.05);观察组腹部压痛、宫腔粘连、恶露异味、体温升高等并发症发生率低于对照组,差异均有统计学意义(P<0.05)。结论:采用宫腔放置球囊压迫治疗剖宫产后出血效果较好,能提高临床疗效,优化手术指标,且术后发生感染和并发症的几率较低,安全性高,在临床应用中具有较高的推广价值。Objective： To explore the application value of the intrauterine balloon compression （ Bakri balloon compression ） in the cesarean section postpartum hemorrhage. Method： From February 2010 to February 2017, 44 patients with postpartum hemorrhage in the cesarean section were selected.They were divided into the observation group （ 25 cases ） and the control group （ 19 cases ）, the observation group was implemented Bakri balloon compression for treatment, the control group was implemented the intrauterine gauze packing hemostasis method.The information included operation situation, clinical effect, postpartum infections and occurrence of complications of two groups were compared.Result： The postpartum hemorrhage, operation time, hospital stays and blood transfused of observation group were significantly lower than those in control group, the differences were statistically significant （ P〈0.05 ） .The treatment effective rate of the observation group was significantly greater than the control group, the incidence of postpartum infections of the observation group was significantly lower than that in control group, the differences were statistically significant （ P〈0.05 ） .The incidence rate of abdominal tenderness, intrauterine adhesion, lochia peculiar smell, ferveseence and some other complication of the observation group were lower than those in control group, there were statistical significance （ P〈0.05 ） . Conclusion： It has preferably effect of postpartum hemorrhage in the cesarean section by the intrauterine balloon compression, it can improve the clinical effect, optimize the operation indicators, reduce the rate of infection incidence rate and complication after operation, it has high safety and promotion value in the clinical application.

关 键 词：剖宫产 Bakri球囊压迫术 产后出血 宫腔纱条填塞止血法 

分 类 号：R719.8[医药卫生—妇产科学] R714.461[医药卫生—临床医学]