Bakri球囊填塞与B-Lynch缝合对剖宫产术后出血患者疗效及血流动力学指标的影响  

Effects of Bakri Balloon Tamponade and B-lynch Suture on Curative Effect and Hemodynamic Indexes in Patients with Postcesarean Hemorrhage

作　　者：傅金腾 曾黎贞 戴丽萍 FU Jinteng;ZENG Lizhen;DAI Liping(Department of Women's Health Care,Putian Maternal and Child Health Hospital,Putian,Fujian Province,351106 China)

机构地区：[1]莆田市妇幼保健院妇女保健科,福建莆田351106

出　　处：《中外医疗》2023年第10期67-70,75,共5页China & Foreign Medical Treatment

摘　　要：目的分析Bakri球囊填塞与B-Lynch缝合对剖宫产术后出血患者疗效及血流动力学指标的影响。方法方便选择2020年1月—2021年12月莆田市妇幼保健院收治的85例剖宫产术后出血患者为研究对象,以随机数表法分为填塞组(42例)及缝合组(43例)。填塞组开展Bakri球囊填塞治疗,缝合组开展B-Lynch缝合治疗。比较两组临床疗效、出血情况及输血量、治疗前后血流动力学指标水平、并发症发生情况等。结果填塞组治疗有效率为95.24%,高于缝合组的79.07%,差异有统计学意义(χ^(2)=4.930,P=0.026)。填塞组术中出血量、术后2、24 h出血量、输血量低于缝合组,差异有统计学意义(P<0.001)。填塞组产后2 h填塞组收缩压、舒张压、血氧饱和度高于缝合组,心率低于缝合组,差异有统计学意义(P<0.05)。填塞组并发症发生率低于缝合组,差异有统计学意义(χ^(2)=5.251,P=0.022)。结论Bakri球囊填塞应用于剖宫产术后出血患者中的疗效优于B-Lynch缝合,且在维持血流动力学稳定方面具有显著效果,可降低并发症发生风险。Objective To analyze the effect of Bakri balloon tamponade and B-Lynch suture on the curative effect and hemodynamic indexes of patients with postcesarean hemorrhage.Methods A total of 85 patients with hemorrhage after cesarean section treated in Putian Maternal and Child Health Hospital from January 2020 to December 2021 were conveniently selected as the study objects,and were divided into tamponing-packing group(42 cases)and suture group(43 cases)by random number table method.Bakri balloon treatment was performed in the tamponade group,and BLynch suture was performed in the suture group.The clinical efficacy,bleeding and blood transfusion,hemodynamic indexes before and after treatment,and the incidence of complications were compared between the two groups.Results Tamponade group effective rate was 95.24%,higher than that of suture group(79.07%),the difference was statistically significant(χ^(2)=4.930,P=0.026).The intraoperative blood loss,2,24 h postoperative blood loss and blood transfusion in the tamponade group were lower than those in the suture group,and the difference was statistically significant(P<0.001).The systolic blood pressure,diastolic blood pressure and oxygen saturation in the 2 h postpartum tamponade group were higher than those in the suture group,the heart rate was lower than that in the suture group,the difference was statistically significant(P<0.05).The incidence of complications in the tamponade group is lower than that in the suture group,the difference was statistically significant(χ^(2)=5.251,P=0.022).Conclusion The efficacy of Bakri balloon tamponage in patients with hemorrhage after cesarean section is superior to B-Lynch suture,and it has a significant effect in maintaining hemodynamic stability and reducing the risk of complications.

关 键 词：剖宫产术后出血 B-LYNCH缝合 Bakri球囊填塞 疗效 血流动力学 并发症 

分 类 号：R4[医药卫生—临床医学]