宫腔Bakri球囊填塞、B―Lynh缝合和纱条填塞在预防和治疗产后出血中的效果对比.doc

宫腔Bakri球囊填塞、B — Lynch缝合和纱条填塞在预防和治疗产后出血中的效果对比 ［ ］目的研宄产后出血患者使用宫腔Bakri 球囊填塞、B-Lynch缝合和纱条填塞这三种措施的效果 方法将2014年1月?2015年12月在我院接受治疗 的133例患者产后出血患者作为研宄对象，其中57 例给予宫腔Bakri球囊填塞止血，42例给予B-Lynch 缝合止血，34例给予纱条填塞止血。比较三种止血措 施的效果，分析止血效果与高危因素的关系。结果 Bakri球囊填塞组止血成功率为91.22%, B-Lynch缝合 组止血成功率为92.85%,纱条填塞组止血成功率为 91.17%,三组间比较差异无统计学意义（P〉0.05）。三 组患者手术时间、子宫复旧及产后感染情况三组间比 较差异无统计学意义（P0.05）o Bakri球囊填塞组手 术时间显著短于其他两组，三组间比较差异有统计学 意义（P ［关键词］宫腔Bakri球囊填塞；B-Lynch缝合；纱 条填塞；产后出血 ［ ］R714.4 ［ ］A ［ ］ 2095-0616 (2017) 06-83-04 ［Abstract］ Objective To study the effect of uterine cavity Bakri balloon tamponade，B-Lynch suture and gauze packing of postpartum hemorrhage patients. Methods 133 patients with postpartum hemorrhage cured in our hospital from January 2014 to December 2015 were selected as the study objects.Among them， 57 cases were treated with uterine cavity Bakri balloon tamponade, 42 cases were treated with B-Lynch suture， 34 cases were treated with gauze packing.Effects of three hemostatic measures were compared.And relationship between hemostatic effect and risk factors were compared. Results The success rate of hemostasis of uterine cavity Bakri balloon tamponade was 91.22%, the success rate of hemostasis of B-Lynch suture was 92.85%，the success rate of hemostasis of gauze packing was 91.17%，and there was no significance between the three groups (P0.05) .There was no significant difference on operation time， postpartum uterine involution and infection between the three groups (P〉0.05) .The operation time of uterine cavity Bakri balloon tamponade was significantly shorter than the other two groups，there was significant difference between the three groups (P 1 资料与方法 1.1 一般资料 将2014年1月?2015年12月在我院接受治疗的 133例产后出血患者作为研究对象，根据手术方式分 B-Lynch缝合组（42例）、Bakri球囊填塞组（57例）、 纱条填塞组（34例）。本研究纳入标准：孕产妇产后2 小时内出血量500mL，保守治疗效果不理想，签署知 情同意书。排除标准：临床资料不完整有严重肝、心、 肾等原发性疾病。133例患者年龄22?50岁，平均 （31.4±4.2）岁。平均产次为（1.3±0.5）次，平均孕 次为（2.15±0.92）次，平均分娩孕周为（36.7±1.61） 周，平均体质量指数为（27.2土2.6） kg/m2o其中， 胎盘植入26例，前置胎盘10例，子宫收缩乏力92 例，血小板减少2例，DIC3例。三组间患者一般资料