Bakri止血水囊与自制水囊治疗产后出血的对照研究

发布时间：2018-01-22 07:11

本文关键词： Bakri止血水囊自制水囊产后出血　出处：《实用妇产科杂志》2017年11期 　论文类型：期刊论文

【摘要】：目的:探讨Bakri止血水囊治疗产后出血的疗效。方法:回顾性分析2014年3月至2015年12月经阴道分娩产后出血78例患者的临床资料,其中采用自制水囊行宫腔填塞治疗42例,采用Bakri水囊行宫腔填塞治疗36例,比较两组产时出血量、放置水囊后2小时出血量、产后24小时出血量、子宫动脉介入治疗率及术后住院天数和住院费用的情况。结果:Bakri水囊组患者的治疗成功率高于自制水囊组(P0.05),而产时出血量(下手术台前的出血量)、放置水囊后2小时出血量、术后24小时出血总量、子宫动脉介入率及住院时间均显著低于自制水囊组,差异均有统计学意义(P0.05)。两组住院费用比较,差异无统计学意义(P0.05)。结论:Bakri水囊能快速有效地控制经阴道分娩的产后出血,疗效优于自制水囊,且其操作简便,成功率高,值得推广。
[Abstract]:Objective: to evaluate the efficacy of Bakri in treating postpartum hemorrhage. Methods: the clinical data of 78 patients with postpartum hemorrhage during vaginal delivery from March 2014 to 2015 were retrospectively analyzed. Among them, 42 cases were treated with self-made water capsule and 36 cases were treated with Bakri water capsule. The amount of blood loss during labor was compared between the two groups, and the amount of bleeding was 2 hours after placing the water capsule. After 24 hours postpartum bleeding, uterine artery interventional therapy rate, postoperative hospitalization days and hospitalization expenses. Results the success rate of the water capsule group was higher than that of the self-made water capsule group (P 0.05). However, the amount of blood loss during labor (the amount of bleeding before operation table, the amount of blood loss 2 hours after placing the water capsule, the total amount of bleeding 24 hours after operation, the rate of uterine artery intervention and the time of hospitalization) were significantly lower than those in the group of self-made water sac. The difference was statistically significant (P 0.05). There was no significant difference (P 0.05). Conclusion the control of postpartum hemorrhage through vaginal delivery by the water sac of:% Bakri is faster and more effective than that of self-made sac, and its operation is simple, and the success rate is high. It is worth popularizing.
【作者单位】：南京医科大学附属妇产医院;
【分类号】：R714.461
【正文快照】： 产后出血指胎儿娩出后24小时内失血量超过500 ml,为分娩期严重并发症,是孕产妇死亡的主要原因,占全球孕产妇死亡原因的1/4,发生率为5%,居中国孕产妇死亡原因之首[1]。选择一种经济有效的止血方法,一直为产科医生所关注。我院自2010年开展自制宫腔水囊填塞治疗产后出血,取得较

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