摘要
目的探讨Cook双球囊联合Bakri球囊填塞在产后出血(PPH)抢救中的应用价值。方法选取河北省人民医院2015年12月-2017年6月收治的60例剖宫产分娩的PPH患者,随机分为Cook组和Bakri组,每组30例。Cook组和Bakri组分别采用Cook双球囊联合Bakri球囊及Bakri球囊子宫填塞法止血。比较两种止血方法平均出血量、平均输血量、止血成功时间、球囊留置时间及子宫切除率;比较两组术中球囊放置失败或中途脱落情况,比较术后1周内总并发症发生率。结果 Cook组平均出血量及平均输血量显著低于Bakri组(P<0.05),Cook组止血成功时间和球囊留置时间显著短于Bakri组(P<0.05),两组子宫切除率相比差异不显著(P>0.05);两组术中球囊放置失败或中途脱落构成比比较,差异无统计学意义(P>0.05);Cook组术后1周总并发症发生率与Bakri组相比较差异无统计学意义(P>0.05)。结论 Cook双球囊联合Bakri球囊填塞可显著缩短止血时间及球囊留置时间,减少出血量,并发症发生率不会增加,治疗PPH更为安全有效。
Objective To explore the application value of Cook double balloon combined with Bakri balloon tamponade in first aid of postpartum hemorrhage. Methods Sixty patients with postpartum hemorrhage undergoing cesarean section in Hebei People＇s Hospital from December 2015 to June 2017 were selected and randomly divided into Cook group and Bakri group, 30 patients in each group. The patients in Cook group were treated by Cook double balloon combined with Bakri balloon tamponade, and the patients in Bakri group were treated by Bakri balloon tamponade. The mean volumes of bleeding and blood transfusion, the time of successful hemostasis and balloon indwelling, the rates of hysterectomy, failed or dropped balloon placement, the total incidence rates of complications within one week after surgery in the two groups were compared. Results The mean volumes of bleeding and blood transfusion in Cook group were statistically significantly lower than those in Bakri group （ P〈0. 05 ） . The time of successful hemostasis and balloon indwelling in Cook group were statistically significantly shor- ter than those in Bakri group （P〈0. 05 ） . There was no statistically significant difference in the rate of hysterectomy, proportions of failed or dropped balloon placement, the total incidence rate of complications within one week after surgery between the two groups （P〉0. 05 ）. Con- clusion Cook double balloon combined with Bakri balloon tamponade can significantly shorten the time of hemostasis and balloon indwell- ing, reduce the amount of bleeding, which cannot increase the incidence rates of complications, so it is safe and effective in treatment of postpartum hemorrhage.
出处
《中国妇幼保健》
CAS
2018年第5期1158-1161,共4页
Maternal and Child Health Care of China
基金
河北省卫生计生委科研项目(20150124)
