剖宫产术后创面缝合联合Bakri球囊填塞治疗前置胎盘产妇的疗效

Curative effect of wound suture after cesarean delivery combined with Bakri balloon tamponade in treatment of patients with placenta previa

目的探讨剖宫产术后创面缝合与Bakri球囊填塞用于前置胎盘产妇的临床疗效,为临床治疗提供参考。方法选取2014年1月-2016年12月陕西中医药大学第二附属医院收治的100例前置胎盘产妇为研究对象,根据随机数字表分为对照组和观察组,每组各50例。两组患者均给予卡前列素氨丁三醇注射,其中对照组患者术后行创面缝合,观察组患者术后行球囊填塞。比较两组患者的干预时间、术后总住院时间、术中和术后24 h出血量、术中输血率及围手术期并发症发生率。结果观察组患者干预时间和术后总住院时间均显著短于对照组(均P<0.05)。观察组患者术中及术后24 h出血量均显著少于对照组(均P<0.05);两组患者术中输血率比较差异无统计学意义(P>0.05)。观察组患者围手术期并发症发生率显著低于对照组(P<0.05)。结论球囊填塞用于前置胎盘产妇可显著减少干预时间,减少术中创伤,促进病情康复,并有助于避免相关并发症发生,其价值优于创面缝合。

Objective To explore the clinical effect of wound suture after cesarean delivery combined with Bakri balloon tamponade in treatment of patients with placenta previa,provide a reference for clinical treatment. Methods From January 2014 to December 2016,100 patientswith placenta previa were selected from the Second Affiliated Hospital of Shaanxi University of Chinese Medicine,then they were divided into control group and observation group,50 patients in each group. The patients in the two groups were treated by injection of carboprost tromethamine,then the patients in control group were treated by wound suture after surgery,and the patients in observation group were treated by Bakri balloon tamponade after surgery. The intervention time,the total hospitalization time after surgery,the amounts of intraoperative and postoperative bleeding with 24 hours,the incidence rates of intraoperative blood transfusion,and incidence rates of perioperative complications in the two groups were compared. Results The intervention time and the total hospitalization time after surgery in observation group were statistically significantly shorter than that in control group（ P〈0. 05）. The amounts of intraoperative and postoperative bleeding within 24 hours in observation group were statistically significantly less than those in control group（ P〈0. 05）. There was no statistically significant difference in the rate of intraoperative blood transfusion between the two groups（ P〈0. 05）. The incidence rate of perioperative complications in observation group was statistically significantly less than that in control group（ P〈0. 05）. Conclusion Bakri balloon tamponade can significantly shorten intervention time,reduce injury during operation,promote recovery,and avoid related complications in treatment of patients with placenta previa,the value is greater than wound suture.