Effect of Bakri balloon tamponade combined with oxytocin on postpartum hemorrhage after cesarean section and its effect on coagulation function
10.3760/cma.j.cn115455-20230112-00031
- VernacularTitle:Bakri球囊填塞联合缩宫素治疗剖宫产产后出血的效果及对凝血功能的影响
- Author:
Feifei LI
1
;
Lijin YU
;
Yan XU
Author Information
1. 海南现代妇女儿童医院产科，海口 570000
- Keywords:
Cesarean section;
Postpartum hemorrhage;
Oxytocin;
Bakri balloon tamponade;
Coagulation function
- From:
Chinese Journal of Postgraduates of Medicine
2024;47(6):518-522
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of Bakri balloon tamponade combined with oxytocin in the treatment of postpartum hemorrhage after cesarean section and its effect on coagulation function.Methods:Fifty patients with cesarean section and postpartum hemorrhage treated in Hainan Modern Women and Children′s Hospital from May 2018 to May 2021 were enrolled retrospectively, and they were randomly divided into observation group and control group, each with 25 cases. The control group was treated with oxytocin combined with intrauterine gauze to stop bleeding, and the observation group was treated with oxytocin combined with Bakri balloon to stop bleeding. The clinical efficacy and hemostatic effect of the two groups were compared. The heart rate, blood pressure, coagulation function before and after treatment and postoperative complications were compared between the two groups.Results:The total effective rate in the observation group was higher than that in the control group: 92.00%(23/25) vs. 68.00%(17/25), there was statistical difference ( χ2 = 4.50, P<0.05). The hemostasis time, intraoperative bleeding volume, 24 h postpartum bleeding volume and blood transfusion volume in the observation group were lower than those in the control group: (11.25 ± 2.54) min vs. (20.56 ± 4.87) min, (687.53 ± 102.84) ml vs. (789.25 ± 113.47) ml, (915.23 ± 115.62) ml vs. (1 041.65 ± 125.83) ml, (1 054.28 ± 186.73) ml vs. (1 207.58 ± 193.72) ml, there were statistical differences ( P<0.05). After treatment, the heart rate, diastolic blood pressure and systolic blood pressure in the observation group were lower than those in the control group: (85.17 ± 8.73) beats/min vs. (92.75 ± 9.05) beats/min, (81.25 ± 8.34) mmHg (1 mmHg = 0.133 kPa) vs. (90.12 ± 8.83) mmHg , (120.27 ± 15.17) mmHg vs. (132.71 ± 16.27) mmHg , there were statistical differences ( P<0.05). After treatment, the levels of prothrombin time and activated partial thromboplastin time in the observation group were lower than those in the control group, and the level of fibrinogen in the observation group was higher than that in the control group: (13.15 ± 1.28) s vs. (17.36 ± 1.58) s, (30.36 ± 6.75) s vs. (38.47 ± 7.38) s, (6.17 ± 1.02) g/L vs. (5.25 ± 0.97) g/L, there were statistical differences ( P<0.05). The incidence of postoperative complications in the observation group was lower than that in the control group: 12.00% (3/25) vs. 36.00%(9/25), there was statistical difference ( χ2 = 3.95, P<0.05). Conclusions:Bakri balloon tamponade combined with oxytocin can significantly improve the coagulation function of patients with postpartum hemorrhage after cesarean section, reduce the occurrence of postoperative complications.
