摘要
目的 研究分析在治疗中央性前置胎盘剖宫产术中应用Bakri子宫填塞球囊导管的临床效果。方法 选取2014年12 月-2016年1月收治的中央性前置胎盘剖宫产术产妇45例,随机分为观察组与对照组,对照组使用缩宫素、欣母沛等 药物,缝扎活动性出血点,观察组在此基础上使用Bakri子宫填塞球囊导管进行止血,观察两组临床效果。结果 观 察组手术时间、住院时间及术后出血量、术后白细胞计数均明显少于对照组,输血率、产褥感染率及子宫切除率均 明显低于对照组,P<0.05,以上差异均有统计学意义。结论 中央性前置胎盘剖宫产术中应用Bakri子宫填塞球囊 导管,能够有效缩短手术时间及住院时间,抑制术后炎症,减少术后出血及输血、产褥感染与子宫切除,促进产妇 快速康复,具有良好的应用效果与临床价值。
Objective To study the analysis of uterine Bakri tamponade balloon catheter clinical effect in the treatment of central placenta previa cesarean section. Methods 45 cases admitted with central placenta previa cesarean section maternal from December 2014 to January 2016were randomly divided into observation group and control group, the control group were used oxytocin, Yan Pei and other drugs, sewed tie active bleeding; uterine observation group were used Bakri tamponade balloon catheter hemostasis on the basis of control group, and the clinical effects were observed respectively. Results The operative time, hospital stay and postoperative bleeding, postoperative leukocyte counts were significantly less than the control group, transfusion rate, puerperal infection and hysterectomy were significantly lower than the control group, P <0.05, the above difference It was statistically significant. Conclusion The central placenta previa cesarean section and uterine Bakri tamponade balloon catheter that can effectively shorten the operation time and hospital stay, postoperative inflammation inhibition, reduce postoperative bleeding and blood transfusion, puerperal infection and hysterectomy, promote maternal fast recovery, have a good effect and clinical value.
【关键词】中央性前置胎盘;剖宫产;Bakri子宫填塞球囊导管;临床效果
【中图分类号】R719.8
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2016.05.014
前言
产后出血是导致孕产妇死亡最常见原因之一, 约占有1/4比例孕产妇死于产后出血,胎盘因素、宫 缩因素、凝血机制及软产道损伤等均会引发产后出 血[1]。而随着人工流产、剖宫产等手术操作比例的增 加,前置胎盘发病率也呈现上升趋势。前置胎盘是妊 娠晚期较为严重的并发症,容易导致产后出血而危及 母婴生命。尤其中央性前置胎盘出血时间早、次数及 出血量均较多,临床情况最为凶险,应用药物止血效 果通常并不理想,往往容易出现产后并发症[2]。为寻求更为有效的防治中央性前置胎盘临床措施,保障生 命、降低风险,我院对部分患者实施Bakri子宫填塞 球囊导管治疗,对比观察其临床效果以作参考,现报 道如下。
罕少疾病杂志
第23卷, 第 6 期
2019年11月
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