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印度北方邦一家三级医疗机构中帕尼克真空吸引止血装置与恰蒂斯加尔球囊填塞法在产后出血管理中的对比分析

Comparative Analysis of Panicker's Vacuum Suction Hemostatic Device Versus the Chhattisgarh Balloon Tamponade in the Management of Postpartum Hemorrhage at a Tertiary Health Facility in Uttar Pradesh, India.

作者信息

Tyagi Preeti, Verma Pratima, Anand Deepak

机构信息

Obstetrics and Gynaecology, GSVM (Ganesh Shankar Vidyarthi Memorial) Medical College, Kanpur, IND.

Social and Preventive Medicine, GSVM (Ganesh Shankar Vidyarthi Memorial) Medical College, Kanpur, IND.

出版信息

Cureus. 2025 Mar 29;17(3):e81399. doi: 10.7759/cureus.81399. eCollection 2025 Mar.

DOI:10.7759/cureus.81399
PMID:40308400
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12043025/
Abstract

INTRODUCTION

Etiologies of postpartum hemorrhage vary widely and most commonly include uterine atony and placental site bleeding. The Chhattisgarh balloon tamponade applies positive pressure to the intrauterine myometrial wall and compresses the placental bed within the endometrial lining to stop postpartum hemorrhage. In contrast, Panicker's vacuum suction hemostatic device is used to perform vacuum retraction of the uterus. This study compared the effectiveness of Panicker's vacuum suction hemostatic device and the Chhattisgarh balloon tamponade in controlling postpartum hemorrhage.

METHODS

Patients older than 19 years of age with atonic postpartum hemorrhage were included in the study. Patients with other causes of postpartum hemorrhage, such as coagulopathy, traumatic postpartum hemorrhage, retained products of conception, uterine rupture, and perforation, were excluded. Patients were randomly divided into two groups (A and B), with 70 participants per group. In Groups A and B, Panicker's vacuum suction hemostatic device and the Chhattisgarh balloon tamponade were used, respectively. The outcome in both groups was measured based on different parameters.

RESULTS

Statistically significant differences were found between Groups A and B regarding the time taken to control uterine bleeding, time taken to restore uterine tone, amount of blood loss, pain score, and length of hospital stay.

CONCLUSION

Vacuum retraction of the uterus using Panicker's vacuum suction hemostatic device was found to be more effective in the management of postpartum hemorrhage than the Chhattisgarh balloon tamponade.

摘要

引言

产后出血的病因多种多样，最常见的包括子宫收缩乏力和胎盘部位出血。恰蒂斯加尔球囊填塞术对子宫肌层壁施加正压，并压迫子宫内膜内的胎盘床以止血。相比之下，帕尼克真空吸引止血装置用于对子宫进行真空回缩。本研究比较了帕尼克真空吸引止血装置和恰蒂斯加尔球囊填塞术在控制产后出血方面的有效性。

方法

年龄大于19岁的产后宫缩乏力性出血患者纳入本研究。排除其他原因导致的产后出血患者，如凝血功能障碍、创伤性产后出血、妊娠物残留、子宫破裂和穿孔。患者被随机分为两组（A组和B组），每组70名参与者。A组和B组分别使用帕尼克真空吸引止血装置和恰蒂斯加尔球囊填塞术。两组的结局根据不同参数进行测量。

结果

A组和B组在控制子宫出血所需时间、恢复子宫张力所需时间、失血量、疼痛评分和住院时间方面存在统计学显著差异。

结论

发现使用帕尼克真空吸引止血装置对子宫进行真空回缩在产后出血管理中比恰蒂斯加尔球囊填塞术更有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bae/12043025/f89463f417bc/cureus-0017-00000081399-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bae/12043025/dfbc599be9d7/cureus-0017-00000081399-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bae/12043025/dd348c328a2b/cureus-0017-00000081399-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bae/12043025/4a2ee8322ba0/cureus-0017-00000081399-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bae/12043025/19a17f804591/cureus-0017-00000081399-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bae/12043025/f8227b8c1dfb/cureus-0017-00000081399-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bae/12043025/841e9b5fbf66/cureus-0017-00000081399-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bae/12043025/12d7788e9da0/cureus-0017-00000081399-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bae/12043025/546cdb78bdf6/cureus-0017-00000081399-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bae/12043025/f89463f417bc/cureus-0017-00000081399-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bae/12043025/dfbc599be9d7/cureus-0017-00000081399-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bae/12043025/dd348c328a2b/cureus-0017-00000081399-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bae/12043025/4a2ee8322ba0/cureus-0017-00000081399-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bae/12043025/19a17f804591/cureus-0017-00000081399-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bae/12043025/f8227b8c1dfb/cureus-0017-00000081399-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bae/12043025/841e9b5fbf66/cureus-0017-00000081399-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bae/12043025/12d7788e9da0/cureus-0017-00000081399-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bae/12043025/546cdb78bdf6/cureus-0017-00000081399-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bae/12043025/f89463f417bc/cureus-0017-00000081399-i09.jpg

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