Bakri子宫填塞球囊用于宫缩乏力性剖宫产产后出血患者临床效果观察及对血红蛋白和D-二聚体的影响  

Clinical effect of Bakri uterine tamponade balloon on postpartum hemorrhage of uterine atony cesarean section and its effect on hemoglobin and D-dimer

作　　者：刘亚杰[1] 曹冬如 史俊梅[1] 白月婷[1] 赵译 LIU Yajie;CAO Dongru;SHI Junmei;BAI Yueting;ZHAO Yi(First Obstetrics Department,Haidian Maternal and Child Health Care,Beijing 100080,China)

机构地区：[1]北京市海淀区妇幼保健院产一科,北京100080

出　　处：《中国性科学》2020年第5期117-120,共4页Chinese Journal of Human Sexuality

摘　　要：目的探讨Bakri子宫填塞球囊用于宫缩乏力性剖宫产产后出血患者临床效果观察及对血红蛋白和D-二聚体的影响。方法选取2017年12月至2018年12月北京市海淀区妇幼保健院诊治的宫缩乏力性剖宫产产后出血的82例患者作为研究对象。按照随机表法将其分为观察组与对照组,每组41例患者。观察组患者在对照组基础上结合Bakri子宫填塞球囊治疗,对照组患者给予卡前列腺素氨丁三醇注射液治疗。比较两组患者治疗效果,产后12h和24h出血量,宫缩持续时间和子宫底下降速度,治疗前后血红蛋白和D-二聚体变化。结果观察组患者治疗总有效率(97.6%)高于对照组患者(80.5%),其差异具有统计学意义(P<0.05)。观察组患者产后12h和24h出血量均少于对照组患者,其差异均具有统计学意义(均P<0.05)。观察组患者宫缩持续时间长于对照组患者,而子宫底下降速度快于对照组患者,其差异均具有统计学意义(均P<0.05)。治疗后,两组患者血红蛋白和D-二聚体水平均无明显变化,其差异均无统计学意义(均P>0.05);两组患者血红蛋白和D-二聚体水平比较,其差异均无统计学意义(均P>0.05)。结论Bakri子宫填塞球囊用于宫缩乏力性剖宫产产后出血患者临床治疗效果良好,对血红蛋白和D-二聚体无明显影响,值得临床借鉴。Objective To investigate the clinical effect of Bakri uterine tamponade balloon on postpartum hemorrhage of uterine atony cesarean section and its influence on hemoglobin and D-dimer.Methods From December 2017 to December 2018,82 patients with postpartum hemorrhage after uterine atony cesarean section diagnosed and treated in our hospital were selected and divided into observation group and control group according to the random table method,41 patients in each group.The control group was given Carboprost tromethamine injection,while the observation group was treated with Bakri uterine tamponade balloon on the basis of the control group.The therapeutic effect,bleeding volume at 12 and 24 hours postpartum,duration of uterine contraction and descending rate of fundus uteri,changes in hemoglobin and D-dimer between before and after treatment were compared between the two groups.Results The total effective rate in the observation group(97.6%)was higher than that in the control group(80.5%),with statistically significant differences(P<0.05).The amount of bleeding at 12 and 24 hours after delivery in the observation group was less than that in the control group(P<0.05).The duration of uterine contraction in the observation group was longer than that in the control group,and the descending rate of the fundus of uterus was faster than that in the control group(all P<0.05).The levels of hemoglobin and D-dimer in the two groups did not change significantly after treatment(all P>0.05);there was no significant difference in the levels of hemoglobin and D-dimer between the two groups after treatment(all P>0.05).Conclusions Bakri uterine tamponade balloon has a good clinical effect for patients with postpartum hemorrhage due to uterine inertia cesarean section,and no significant effect on hemoglobin and D-dimer,which is worthy of clinical reference.

关 键 词：Bakri子宫填塞球囊 宫缩乏力性剖宫产 产后出血 临床效果 血红蛋白 D-二聚体 

分 类 号：R714[医药卫生—妇产科学]