|
|
|
| App lication effect of Bakri uterine tam ponade w ith balloon catheter in treatment of postpartum hemorrhage after cesarean section |
| BAI Zhi LONG Da-jian CHI Hao YANG Ming CHEN Min-hong LIU Zhuan-qin HE Ya-ting JI Yan-jie▲ |
| Department of Obstetrics,Tangxia Hospital of Dongguan City,Guangdong Province,Dongguan 523721,China |
|
|
|
|
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.
|
|
|
|
|
|
| [1] |
谢幸，苟文丽.妇产科学[M].8版.北京：人民卫生出版社，2013.
|
| [2] |
江红，毛小刚.卡前列素氨丁三醇在高危孕产妇剖宫产中应用时机研究[J].湖北医药学院学报，2011，30（6）：618-620.
|
| [3] |
梁朝霞，杜蒙恺，陈丹青.高龄妇女再生育的产科合并症风险[J].中国计划生育和妇产科，2014，6（7）：10-13
|
| [4] |
苏秀娟，李婷.2000年至2009年我国剖宫产率和剖宫产指征的变化[J].中华围产医学杂志，2222，15（2）：85-90.
|
| [5] |
范玲，黄醒华.前置胎盘胎盘早剥对母儿的影响[J].中国实用妇科与产科杂志，2001，17（2）：68-70.
|
| [6] |
程晓仙.安列克防治产后出血的临床[J].中国预防医学杂志，2008，（3）：224.
|
| [7] |
陈敦金，孙雯.产科急救新进展[J].中国实用妇科与产科杂志，2017，33（33）：40-44
|
| [8] |
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.
|
| [9] |
崔金晖，李萍，张媛，等.Bakri子宫填塞球囊导管在前置胎盘剖宫产术中的应用[J].中山大学学报（医学科学版），2014，35（4）：565-569.
|
| [10] |
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.
|
| [13] |
魏素梅，杨霄，闫咨儒.Bakri球囊填塞治疗中央型前置胎盘临床疗效评价[J].四川医学，2016，37（4）：361-363，364.
|
| [14] |
应红军，范琦慧，江元.Bakri球囊用于产后出血48例临床分析[J].浙江医学，2015，34（6）：503-505.
|
| [17] |
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.
|
|
|
|
