Comparison of the effects of Bakri balloon tamponade and uterine compression suture in the treatment of postpartum hemorrhage of cesarean section placenta previa
Objective To compare the effects of Bakri balloon tamponade and uterine compression suture in the treatment of postpartum hemorrhage of cesarean section placenta previa.Methods From January 2021 to August 2023,60 patients with postpartum hemorrhage of cesarean section placenta previa admitted in our hospital were selected and divided into control group(n=30)and observation group(n=30)according to different surgical methods.The control group was treated with uterine compression suture,and the observation group was treated with Bakri balloon tamponade.The therapeutic effects of the two groups were compared.Results The operation time,intraoperative blood loss,postoperative 24 h blood loss,intraoperative blood transfusion and hospitalization time in the observation group were better than those in the control group(P<0.05).After treatment,the systolic blood pressure(SBP),diastolic blood pressure(DBP)and blood oxygen saturation(SpO2)in the observation group were higher than those in the control group,and the heart rate(HR)was lower than that in the control group(P<0.05).After treatment,the prothrombin time(PT)and thrombin time(TT)in the observation group were shorter than those in the control group,and the levels of fibrinogen(FIB)and D-dimer(D-D)were higher than those in the control group(P<0.05).After treatment,the levels of follicle stimulating hormone(FSH),luteinizing hormone(LH)and estradiol(E2)in the observation group were higher than those in the control group(P<0.05).The total incidence of complications in the observation group was 6.67%,which was lower than 26.67%in the control group(P<0.05).Conclusion Bakri balloon tamponade has a significant effect in the treatment of postpartum hemorrhage of cesarean section placenta previa.It can improve the hemostatic effect,regulate hemodynamics,enhance coagulation indexes and sex hormone indexes,and reduce the incidence of complications.
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