Bakri球囊填塞与B-Lynch缝合在剖宫产产后出血中的效果观察

Effect of Bakri balloon tamponement and B-Lynch suture on postpartum hemorrhage after cesarean section

目的探讨Bakri球囊填塞法与B-Lynch缝合法在剖宫产产后出血中的疗效。方法选取62例剖宫产产后出血产妇,采用随机数字表法分为A组与B组,各31例。A组产妇采用Bakri球囊填塞法治疗,B组产妇采用B-Lynch缝合法治疗。对比两组产妇术中出血量、术后2h出血量、术后24h出血量、手术时间、住院时间及并发症发生情况。结果A组产妇术中、术后2h出血量及24h出血量均明显少于B组,差异均具有统计学意义(P<0.05)。A组产妇手术时间及住院时间均短于B组,差异具有统计学意义(P<0.05)。A组产妇术后并发症发生率3.23%明显低于B组的25.81%,差异具有统计学意义(P<0.05)。结论相比B-Lynch缝合法,Bakri球囊填塞法治疗剖宫产产后出血临床疗效更为突出,其不仅能明显减少产妇术中及术后出血量,且临床并发症少,术后康复快。

Objective To investigate the effect of Bakri balloon packing and B-Lynch suture in the treatment of hemorrhage after cesarean section.Methods 62 women with hemorrhage after cesarean section were selected and divided into group A and group B by random number table method,with 31 cases in each group.Group A received Bakri balloon tamponement and group B received B-Lynch suture.The intraoperative blood loss,2 h postoperative blood loss,24 h postoperative blood loss,operation time,hospital stay and the incidence of complications were compared between the two groups.Results The intraoperative and postoperative blood loss at 2 h and 24 h in group A was significantly less than that in group B,with statistical significance(P<0.05).The duration of operation and hospitalization in group A was shorter than that in group B,and the difference was statistically significant(P<0.05).The postoperative complication rate of group A(3.23%)was significantly lower than that of group B(25.81%),and the difference was statistically significant(P<0.05).Conclusion Compared with B-Lynch suture method,Bakri balloon packing method has more prominent clinical efficacy in the treatment of postpartum hemorrhage after cesarean section,which can not only significantly reduce the amount of intraoperative and postoperative bleeding,but also have fewer clinical complications and fasterpostoperativerecovery.