Bakri球囊填塞治疗中央性前置胎盘产后出血的临床效果

Clinical effect of Bakri balloon tamponade in the treatment of postpartum hemorrhage of central placenta previa

目的探析Bakri球囊填塞治疗中央性前置胎盘产后出血的临床效果,为临床医师选择合理治疗方案提供参考。方法74例中央性前置胎盘产后出血产妇,依据随机数字表法分为对照组和研究组,每组37例。对照组采用B-Lynch缝合加宫腔填纱术治疗,研究组实施Bakri球囊填塞治疗。对比两组手术相关指标、并发症发生情况、术后恢复相关情况。结果研究组手术用时、止血用时分别为(8.08±5.23)、(11.26±5.45)min,均短于对照组的(16.19±6.45)、(19.32±7.14)min,术中出血量、输血量及术后24 h出血量分别为(856.33±133.25)、(988.45±153.37)、(931.27±105.44)ml,均少于对照组的(1245.65±215.47)、(1438.13±165.48)、(1368.58±177.69)ml,差异有统计学意义(P<0.05)。研究组并发症发生率10.80%低于对照组的29.73%,差异有统计学意义(P<0.05)。研究组填塞物取出时间短于对照组,视觉模拟评分法(VAS)评分低于对照组,差异有统计学意义(P<0.05)。两组恶露持续时间及住院时间对比,差异无统计学意义(P>0.05)。结论针对中央性前置胎盘产后出血产妇,应用Bakri球囊填塞治疗,其临床止血效果确切,并发症较少,且能够更好改善患者疼痛程度,综合应用效果与价值可观,可作为推荐治疗方案在中央性前置胎盘产后出血中推广、应用。

Objective To discuss the clinical effect of Bakri balloon tamponade in the treatment of postpartum hemorrhage of central placenta previa,so as to provide reference for clinicians to choose reasonable treatment regimen.Methods A total of 74 cases of postpartum hemorrhage of central placenta previa were divided into control group and research group according to random numerical table,with 37 cases in each group.The control group was treated with B-Lynch suture and uterine cavity filling,while the research group was treated with Bakri balloon tamponade.The surgical related indicators,occurrence of complications,and postoperative recovery situation were compared between the two groups.Results The operation time and hemostasis time of the research group were(8.08±5.23)and(11.26±5.45)min,which were shorter than(16.19±6.45)and(19.32±7.14)min of the control group;the intraoperative blood loss,blood transfusion volume and blood loss 24 h after operation of the research group were(856.33±133.25),(988.45±153.37)and(931.27±105.44)ml,which were less than(1245.65±215.47),(1438.13±165.48)and(1368.58±177.69)ml of the control group.All the difference was statistically significant(P<0.05).The incidence of complications of the research group was 10.80%,which was lower than 29.73%of the control group,and the difference was statistically significant(P<0.05).The filling material removal time of the research group was shorter than that of the control group,and the visual analogue scale(VAS)score was lower than the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in duration of lochia and hospitalization time between the two groups(P>0.05).Conclusion The application of Bakri balloon tamponade has exact hemostatic effect on the treatment of postpartum hemorrhage of central placenta previa with fewer complications,and can better improve the degree of pain of patients.The comprehensive application effect and value are considerable,which can be promoted and applied as the recommended treatment in postpartum hemorrhage of central placenta previa.