Abstract：ObjectiveTo explore the application of Bakri uterine tamponade with balloon catheter in prevention of postpartum hemorrhage.MethodsAll of 152 patients suffered from postpartum hemorrhage after cesarean section admitted into our hospital from January 2015 to January 2018 were randomly divided into control group and study group,76 cases in each group.In the control group,conventional basic uterine contraction therapy and local suturing for bleeding were used,while in the study group,Bakri uterine tamponade with balloon catheter intervention on the basis of the control group was added.The post-natal 24-hour bleeding,preoperative and postoperative hemoglobin changes,hospital stay,hospital costs,lochia duration,and hysterectomy rate in both groups were observed.ResultsIn the study group,the post-natal 24-hour blood loss,hemoglobin change was lesser than that in the control group,hospital stay,and duration of lochia were shcrter than that in the control group,hospitalization cost was significantly lower than those in the control group with statistical significance(P<0.05).The hysterectomy rate was 0.0%in the study group,lesser than that in the control group accounting for 0.3%with a significant difference(P<0.05).ConclusionThe Bakri uterine tamponade with balloon catheter can be used to prevent postpartum hemorrhage.The method is simple and obtain a rapid hemostasis,which can be used in clinic.
柏智； 龙大坚； 池浩； 杨茗； 陈敏红； 刘转琴； 何雅婷； 纪艳洁. Bakri子宫填塞球囊导管在剖宫产术产后出血患者中的应用效果[J]. 中国当代医药, 2018, 25(17): 103-106.
BAI Zhi； LONG Da-jian； CHI Hao； YANG Ming； CHEN Min-hong； LIU Zhuan-qin； HE Ya-ting； JI Yan-jie. App lication effect of Bakri uterine tam ponade w ith balloon catheter in treatment of postpartum hemorrhage after cesarean section. 中国当代医药, 2018, 25(17): 103-106.
Diemert A，Ortmeyer G，Hollwitz B，et al.The combination of intrauterine balloon tamponade and the B-Lynch procedure for the treatment of severe postpartum hemorrhage[J].Am J Obstet Gynecol，2012，206（1）：65.
Wright CE，Chauhan SP，Abuhamad AZ.Bakri balloon for the management of postpartum hemorrhage：a review[J].Am J Perinatol，2014，31（11）：957-964.
[11]
Gronvall M，Tikkanen M，Tallberg E，et al.Use of Bakri balloon tamponade in the treatment of postpartum hemorrhage：a series of 50 cases from a tertiary teaching hospital[J].Acta Obstet Gynecol Scand，2013，92（4）：433-438.
Georgiou C.Balloon tamponade in the management of postpartum haemorrhage：a review[J].Am J Perinatol，2014，31（11）：957-964.
[12]
Kavak SB，Atilgan R，Demirel I，et al.Endouterine hemostatic square suture vs.Bakri balloon tamponade for intractable hemorrhage due to complete placenta previa[J].J Perinatal Med，2013，41（6）：705-709.
[15]
Héquet D，Lubrano S，Barranger E.Trends in the rate of invasive procedures after the addition of the intrauterine tamponade test to a protocol for management of severe postpartum hemorrhage[J].Am J Obstet Gynecol，2013，208（5）：419-420.
[16]
Yoong W1，Ridout A，Memtsa M，et al.Application of uterine compression suture in association with intrauterine balloon tamponade （'uterine sandwich'） for postpartum hemorrhage[J].Acta Obstet Gynecol Scand，2012，91（1）：147-151.
京公网安备 11010502046607号