前置胎盘患者剖宫产术中 Bakri 球囊填塞与子宫纱布填塞的预防性应用
Prophylactic application of Bakri balloon tamponade versus uterine gauze packing during cesarean section in patients with placenta previa.
作者信息
Lin Baohua, Zhou Bei, Chen Juanhua, Yang Jinying
机构信息
Department of Obstetrics, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.
出版信息
J Int Med Res. 2020 Mar;48(3):300060520910049. doi: 10.1177/0300060520910049.
OBJECTIVE
This study was performed to compare the effectiveness of routine Bakri balloon tamponade (BBT) and uterine gauze packing (UGP) during cesarean section in patients with placenta previa.
METHODS
This study involved women with placenta previa who underwent cesarean section with either prophylactic BBT (n = 98) or UGP (n = 64) from January 2016 to December 2018. The clinical variables and pregnancy outcomes were compared between the two groups.
RESULTS
The estimated intraoperative blood loss was significantly lower in the BBT than UGP group (667 ± 358 vs. 791 ± 360 ml, respectively). Additionally, the proportion of patients who required transfusion was significantly lower in the BBT than UGP group (9/98 vs. 17/64, respectively). The operative duration (97.8 ± 17.7 vs. 108.2 ± 16.9 minutes) and the length of stay (3.79 ± 0.89 vs. 4.12 ± 0.85 days) were significantly shorter in the BBT than UGP group.
CONCLUSIONS
In patients with placenta previa who undergo cesarean section, preventive application of BBT is superior to UGP for decreasing the intraoperative blood loss and transfusion rate. BBT is a more reliable technique to prevent and control postpartum hemorrhage.
目的
本研究旨在比较前置胎盘患者剖宫产术中常规 Bakri 球囊填塞（BBT）和子宫纱布填塞（UGP）的有效性。
方法
本研究纳入了 2016 年 1 月至 2018 年 12 月期间因前置胎盘行剖宫产术的患者，其中接受预防性 BBT 的患者有 98 例，接受 UGP 的患者有 64 例。比较两组患者的临床变量和妊娠结局。
结果
BBT 组估计术中出血量显著低于 UGP 组（分别为 667±358 毫升和 791±360 毫升）。此外，BBT 组需要输血的患者比例显著低于 UGP 组（分别为 9/98 和 17/64）。BBT 组的手术时间（97.8±17.7 分钟对 108.2±16.9 分钟）和住院时间（3.79±0.89 天对 4.12±0.85 天）均显著短于 UGP 组。
结论
对于行剖宫产术的前置胎盘患者，预防性应用 BBT 在减少术中出血量和输血率方面优于 UGP。BBT 是预防和控制产后出血更可靠的技术。
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