Bakri球囊管理循证实践在前置胎盘产后出血患者中的应用

Application of Evidence-based Practice of Bakri Balloon Management in Postpartum Hemorrhage Patients with Placenta Previa

目的:研究Bakri球囊管理循证实践在前置胎盘产后出血患者中的应用效果。方法:回顾性分析2019年1-12月六盘水市人民医院收治的40例前置胎盘产后出血患者的临床资料作为常规组,且选取2020年1月-2022年6月本院收治的40例前置胎盘产后出血患者的临床资料作为研究组。研究组使用Bakri球囊管理循证实践,常规组患者使用常规管理。比较两组球囊放置后24 h出血量、住院时间、并发症发生率、止血成功率、知识知晓率和执行率。结果:研究组球囊放置后24 h出血量为(120.10±12.16)m L、住院时间为(5.16±1.25)d,均优于常规组的(180.41±12.20)m L、(7.48±1.46)d,差异均有统计学意义(P<0.05)。研究组并发症发生率为2.50%、止血成功率为100.00%,均优于常规组的17.50%、87.50%,差异均有统计学意义(P<0.05)。研究组培训后知识知晓率、执行率均为100.00%,均高于常规组的87.50%、85.00%,差异均有统计学意义(P<0.05)。结论:在前置胎盘产后出血患者中应用Bakri球囊管理循证实践具有确切效果,可以有效减少患者24 h出血量,缩短患者住院时间,降低并发症发生率、提高止血成功率,且可以有效提升护理人员知识、能力水平,值得临床推广和应用。

Objective:To study the application effect of evidence-based practice of Bakri balloon management in postpartum hemorrhage patients with placenta previa.Method:The clinical data of 40 patients with postpartum hemorrhage of placenta previa admitted to People's Hospital of Liupanshui City from January to December 2019 were retrospectively analyzed as the conventional group,and the clinical data of 40 patients with postpartum hemorrhage of placenta previa admitted to our hospital from January 2020 to June 2022 were selected as the study group.Evidence-based practice of Bakri balloon management was used in the study group and routine management was used in the conventional group.The blood loss at 24 h after balloon placement,hospital stay,complication rate,hemostatic success rate,knowledge awareness rate and implementation rate of the two groups were compared.Result:The blood loss at 24 h after balloon placement in the study group was(120.10±12.16)mL and the length of hospitalization was(5.16±1.25)d,which were better than(180.41±12.20)mL and(7.48±1.46)d in the conventional group,the differences were statistically significant(P<0.05).The complication rate and the success rate in the study group were 2.50%,100.00%,which were better than 17.50%and 87.50%in the conventional group,the differences were statistically significant(P<0.05).The knowledge awareness rate after training and implementation rate in the study group were both 100.00%,which were higher than 87.50%and 85.00%in the conventional group,the differences were statistically significant(P<0.05).Conclusion:The evidence-based practice of Bakri balloon management in patients with postpartum hemorrhage of placenta previa has definite effect,which can effectively reduce the bleeding volume of patients in 24 h,shorten the hospitalization time of patients,reduce the incidence of complications,improve the success rate of hemostasis,and effectively improve the knowledge and ability of nursing staff,it is worthy of clinical promotion and application.