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目的分析Bakri球囊填塞治疗中央型前置胎盘产后出血的有效性。方法选取2015年1月-2016年1月于临安人民医院就诊的中央型前置胎盘产后出血患者128例,随机分为观察组和对照组各64例,观察组患者给予Bakri球囊填塞治疗,对照组患者给予B-lynch缝合联合宫腔填纱术治疗,对比两组患者的治疗效果。结果观察组患者的手术时间(6.89±4.72)min、止血时间(9.98±5.88)min、术中出血量(1 013.44±8.54)ml、术后24 h出血量(1 133.56±6.79)ml、输血量(1 075.42±158.32)ml均显著少于对照组的(15.18±7.16)min、(20.57±7.13)min、(1 299.76±8.87)ml、(1 385.76±6.65)ml、(1 452.34±164.15)ml,差异均有统计学意义(P<0.05);两组患者的月经恢复情况差异无统计学意义(P>0.05);观察组患者并发症发生率13.73%显著低于对照组的37.25%,差异有统计学意义(P<0.05)。结论 Bakri球囊填塞能够有效治疗中央型前置胎盘产后出血,并发症发生率低,安全有效,具有临床使用推广价值。
Objective To analyze the effectiveness of Bakri balloon tamponade in the treatment of postpartum hemorrhage in central placenta previa. Methods A total of 128 patients with central placenta previa who received postpartum hemorrhage from January 2015 to January 2016 in Lin’an People’s Hospital were randomly divided into observation group and control group with 64 cases each. Patients in observation group were given Bakri balloon tamponade, Patients in the control group were treated with B-lynch suture and uterine cavity filling, and the therapeutic effect was compared between the two groups. Results The operation time (6.89 ± 4.72) min, bleeding time (9.98 ± 5.88) min, intraoperative blood loss (1 013.44 ± 8.54) ml and postoperative blood loss (1 133.56 ± 6.79) ml (1075.42 ± 158.32) ml were significantly lower than that of the control group (15.18 ± 7.16) min, (20.57 ± 7.13) min, (1 299.76 ± 8.87) ml, (1 385.76 ± 6.65) ml and (1 452.34 ± 164.15) ) (P <0.05). There was no significant difference between the two groups in the recovery of menstruation (P> 0.05). The incidence of complications in the observation group was significantly lower than that in the control group (13.73% vs 37.25% , The difference was statistically significant (P <0.05). Conclusions Bakri balloon capsule can effectively treat postpartum hemorrhage of central placenta previa, the complication rate is low, safe and effective, and it has the clinical value of popularization.