Bakri止血球囊与纱条宫腔填塞的产后止血效果及并发症比较  

Bakri hemostatic balloon versus gauze uterus filling in postpartum hemostasis efficacy and complications

作　　者：史春利 SHI Chunli(Department of Obstetrics and Gynecology,Wugong Affiliated Hospital of Xi′an Medical Specialized College,Xi′an,Shaanxi,712200)

机构地区：[1]陕西省西安医学专修学院武功附属医院妇产科,陕西西安712200

出　　处：《实用临床医药杂志》2020年第5期114-116,120,共4页Journal of Clinical Medicine in Practice

摘　　要：目的探讨Bakri止血球囊和纱条宫腔填塞用于产后止血的效果及对并发症的影响。方法回顾性分析本院产科救治的72例产后出血患者,将35例接受Bakri球囊压迫止血的患者设为球囊组,37例接受纱条宫腔填塞止血的患者设为填塞组。比较2组手术时间、产后24 h出血量、止血成功率、止血时间和住院时间,记录2组产后并发症发生情况。结果2组住院时间、止血成功率比较差异无统计学意义(P>0.05);球囊组手术时间、成功止血时间短于填塞组,差异有统计学意义(P<0.05);球囊组总并发症发生率显著低于填塞组,差异有统计学意义(P<0.05)。结论Bakri止血球囊和纱条宫腔填塞均是产后有效止血方法,但Bakri球囊可节省手术时间,缩短止血时间,降低并发症发生率。Objective To investigate the effect of Bakri hemostasis balloon and gauze uterus filling on postpartum hemostasis and complications.Methods A total of 72 patients were retrospectively analyzed,among whom 35 cases received Bakri balloon compression were in balloon group,37 cases received gauze uterine cavity filling were filling group.The operation time,24 h postpartum hemorrhage volume,hemostasis success rate,hemostasis time and hospitalization time of the two groups were compared,and the occurrence of postpartum complications was recorded.Results There was no significant differences in hospitalization time and hemostasis success rate between the two groups(P>0.05).The operation time and successful hemostasis time in the balloon group were significantly shorter,and the incidence of complications was significnatly lower than those in the filling group(P<0.05).Conclusion Bakri hemostasis balloon and gauze uterus filling are effective postpartum hemostasis methods,but Bakri balloon can shorten operation time and hemostasis time,and reduce incidence of postpartum related complications.

关 键 词：产后出血 Bakri止血球囊 纱条宫腔填塞 止血成功率 并发症 

分 类 号：R714.46[医药卫生—妇产科学]