[1]金海英*,梁敏洪,冯惠庆,等.Bakri子宫填塞球囊导管联合卡贝缩宫素及卡前列素氨丁三醇预防前置胎盘产后出血疗效的评价[J].中国计划生育和妇产科,2016,(6):38-40.
　JIN Hai-ying*,LIANG Min-hong,FENG Hui-qing,et al.The evaluation of Bakri balloon tamponade combined with carbetocin and carboprosttromethamine in preventing postpartum hemorrhage of patients with placenta previa[J].Chinese Journal of Family Planning & Gynecotokology,2016,(6):38-40.
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Bakri子宫填塞球囊导管联合卡贝缩宫素及卡前列素氨丁三醇预防前置胎盘产后出血疗效的评价
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2016年6期
页码:
38-40
栏目:
论著与临床
出版日期:
2016-06-25

文章信息/Info

Title:
The evaluation of Bakri balloon tamponade combined with carbetocin and carboprosttromethamine in preventing postpartum hemorrhage of patients with placenta previa
作者:
金海英*; 梁敏洪; 冯惠庆; 黄丽斯; 冯结华
南方医科大学附属中山市博爱医院产科
Author(s):
JIN Hai-ying*; LIANG Min-hong; FENG Hui-qing; HUANG Li-si; FENG Jie-hua
Department of Obstetrics，Boai hospital of Zhongshan city， Zhongshan Guangdong 528400，P.R.China
关键词:
Bakri 子宫填塞球囊导管; 卡前列素氨丁三醇; 卡贝缩宫素; 前置胎盘; 产后出血
Keywords:
Bakri tamponade balloon;  carboprost tromethamine;  carbetocin;  placenta previa;  postpartum hemorrhage
分类号:
R 71446+2
摘要:
目的评价Bakri子宫填塞球囊导管联合卡贝缩宫素及卡前列素氨丁三醇预防前置胎盘产后出血的疗效。方法回顾性分析2013年3月至2015年3月在中山市博爱医院住院的80例前置胎盘行剖宫产术患者资料，其中40例给予Bakri子宫填塞球囊导管联合药物治疗（药物为卡贝缩宫素及卡前列素氨丁三醇）的为研究组，40例给予胎盘剥离面子宫局部缝合联合药物治疗的为对照组，比较两组手术时间、产后出血量、疗效及不良反应。结果研究组有效率为95 %，对照组有效率为85 %，差异有统计学意义（P<005）。研究组手术时间［（407±68）min］较对照组［（563±89）min］短；对照组产后出血量［（67849±7863）mL］明显高于研究组［（41793±6336）mL］（P<005）；两组恶露持续时间、外周血白细胞计数差异均无统计学意义（P>005）。结论Bakri子宫填塞球囊导管联合卡贝缩宫素及卡前列素氨丁三醇治疗减少前置胎盘产后出血量的效果优于胎盘剥离面子宫局部缝合联合卡贝缩宫素及卡前列素氨丁三醇的治疗。
Abstract:
ObjectiveTo evaluate the preventive effect of Bakri balloon tamponade combined with carbetocin and carboprost tromethamine in postpartum hemorrhage of patients with placenta previa. MethodsPatients with placenta previa after cesarean hospitalized in Boai hospital of Zhongshan city from March 2013 to March 2015 were divided into two groups. The observation group was treated by Bakri balloon tamponade combined with drug therapy（carbetocin and carboprost tromethamine）,and the control group was treated by the uterine local suture of the placenta stripping surface combined with drug therapy. The operation time, the amounts of bleeding, clinical effects and adverse reactions in these two groups were compared. ResultsThe effectiverate of preventing postpartum hemorrhage of the observation group (950 %) was significantly higher than that of control group (850 %) (P<005). The operation time of observation group［(407±68) min］ was shorter than that of the control group［(563±89) min］ (P<005). The amounts of postpartum hemorrhage of observation group［(41793±6336) ml］ were significantly less than that of the control group［(67849±7863) ml］(P<005). There was no difference of duration of lochia and leukocyte number between the observation group and the control group（P>005）. ConclusionsThe reduction effect of postpartum hemorrhage volume induced by Bakri balloon tamponade combined with carbetocin and carboprost tromethamine is better than that induced by the uterine local suture of the placenta stripping surface combined with carbetocin and carboprost tromethamine in placenta previa postpartum hemorrhage.

参考文献/References:

［1］崔金晖，李萍，张媛，等．Bakri子宫填塞球囊导管在前置胎盘剖宫产术中的应用 ［J］．中山大学学报（医学科学版）， 2014， 35 （4）： 565-569． ［2］柏智，纪艳洁，李云秀，等．Bakri子宫填塞球囊导管联合卡前列素氨丁三醇用于治疗前置胎盘出血的临床研究 ［J］．热带医学杂志， 2015， 15 （4）： 487-489, 510． ［3］方娜．卡前列素氨丁三醇与卡贝缩宫素对子宫下段收缩乏力治疗的比较 ［J］．中国药物与临床， 2014， 10 （10）： 1395-1396． ［4］李雪梅．欣母沛辅助催产素联合肛塞米索前列醇预防产后出血效果分析 ［J］．中国计划生育和妇产科， 2015， 7 （3）： 48-49, 56． ［5］韦晓宁．卡前列素氨丁三醇联合卡贝缩宫素预防妊娠期高血压疾病患者产后出血的疗效观察 ［J］．中国基层医药， 2014， 23 （3）： 404-405． ［6］石琪，李佳平．子宫下段局部全层压迫缝合术联合改良B-Lynch缝合术治疗凶险型前置胎盘4例 ［J］．中华妇幼临床医学杂志（电子版）， 2012， 8 （4）： 532． ［7］付晨薇，刘俊涛，杨剑秋，等．子宫填塞球囊导管治疗产后出血的临床效果 ［J］．协和医学杂志， 2013， 4 （1）： 31-34． ［8］梁先慧，陈宏霞．Bakri球囊填塞治疗剖宫产术产后出血的研究 ［J］．吉林医学， 2015， 36 （8）： 1634-1635． ［9］AIBAR L，TERESA AGUILAR M， PUERTAS A A． Bakri balloon for the management of postpartum hemorrhage ［J］. Acta Obstetricia et Gynecologica Scandinavica，2013，92 (4)：465-467． ［10］YOONG W，RIDOUT A， MEMTSA M， et al. ．Application of uterine compression suture in association with intrauterine balloon tamponade ('uterine sandwich') for postpartum hemorrhage ［J］. Acta Obstetricia et Gynecologica Scandinavica， 2012， 91 (1)： 147-151． ［11］赵得雄，张建青，谢玲，等．止血带联合子宫填塞球囊导管压迫止血在前置胎盘剖宫产术中的应用观察 ［J］．山东医药， 2015， 55 （24）： 43-44． ［12］CHO H Y， PARK Y W，KIM Y H， et al． Efficacy of intrauterine bakri balloon tamponade in cesarean section for placenta previa patients ［J］．PLOS One， 2015， 10 (8)： e0134282．

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更新日期/Last Update: 1900-01-01