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目的探讨Bakri子宫填塞球囊导管相对常规纱布填塞在产后出血患者中治疗效果及安全性差异。方法 75例产后出血患者为研究对象,根据患者采用止血方式分为Bakri组(Bakri子宫填塞球囊导管压迫止血,40例)和纱布组(常规纱布填塞止血,35例),比较两组患者填塞物时间、治疗时间、治疗24 h内出血量及止血有效率、子宫动脉结扎率、子宫切除率。结果 Bakri组填塞物时间、治疗时间、治疗24 h内出血量均明显少于纱布组,差异具有统计学意义(P<0.05)。Bakri组止血有效率、子宫动脉结扎率、子宫切除率分别为95.00%、5.00%、0,纱布组止血有效率、子宫动脉结扎率、子宫切除率分别为62.86%、31.43%、5.71%。Bakri组止血有效率、子宫动脉结扎率均明显优于纱布组,差异具有统计学意义(P<0.05);Bakri组子宫切除率低于纱布组,但差异无统计学意义(P>0.05)。结论 Bakri子宫填塞球囊导管在产后出血中治疗,相对常规纱布填塞具有更显著止血效果和更高治疗安全性。
Objective To investigate the curative effect and safety difference between Bakri uterine balloon catheterization and conventional gauze packing in postpartum hemorrhage patients. Methods Seventy-five patients with postpartum hemorrhage were enrolled in this study. The patients were divided into Bakri group (Bakri group) and gauze group (35 cases) Body time, treatment time, the amount of hemorrhage within 24 h and the effective rate of bleeding, uterine artery ligation rate, hysterectomy rate. Results The time, the treatment time and the amount of bleeding in Bakri group were significantly less than those in gauze group within 24 hours of treatment (P <0.05). The rate of hemostasis, uterine artery ligation rate and hysterectomy rate in Bakri group were 95.00%, 5.00%, 0, respectively. The effective rate of hemostasis in gauze group, the ligation rate of uterine artery and hysterectomy were 62.86%, 31.43% and 5.71% respectively. The rate of hemostasis and the rate of uterine artery ligation in Bakri group were significantly better than that in gauze group (P <0.05). The rate of hysterectomy in Bakri group was lower than that in gauze group, but the difference was not statistically significant (P> 0.05). Conclusion The Bakri uterine balloon catheter is treated in postpartum hemorrhage, which has more significant hemostatic effect and higher therapeutic safety than conventional gauze packing.