兰州大学学报（医学版）2025，Vol.51Issue(2)：32-36,65,6.DOI:10.13885/j.issn.1000-2812.2025.02.005
Bakri球囊治疗产后大出血的疗效分析
Therapeutic effect of Bakri balloon tamponade on postpartum hemorrhage
摘要
Abstract
Objective To explore the maternal outcomes of Bakri balloon tamponade(BBT)in the treatment of severe postpartum hemorrhage(sPPH).Methods Women presenting with sPPH after natural childbirth were retrospectively included in Maternal and Child Health Hospital of Hubei Province,Tongji Medical College,Huazhong University of Science and Technology from January 2016 to December 2020.All eligible women were given BBT treatment after failed first-line treatment.The clinical baseline characteristics,perinatal outcomes between women with Bakri success and Bakri failure,women with placenta accreta and without placenta accreta were collected and analyzed.Results Among the 170 women selected,placental implantation accounted for 51.8%(88/170)and BBT showed an effectiveness of 87.7%(149/170).Women with placenta accrete had a lower BBT success rate than those without placenta accrete(χ2=5.73,P=0.017).Compared to women with BBT failure,women with BBT success had a significantly reduced pre/post-BBT blood loss,low need for blood transfusion,a prolonged duration from delivery to balloon placement,a prolonged balloon re-tention time(all P<0.05).Placenta accrete is a high-risk factor for BBT success in sPPH treatment(OR=6.569,95%CI:[1.454,18.751]).Conclusion Placenta accrete is the main cause of sPPH in natural childbirth.The use of BBT is effective for sPPH in women without placenta accrete,but increases the risk of hemostasis fail-ure in women with placenta accrete.关键词
胎盘植入/严重大出血/Bakri球囊/自然分娩/临床效果Key words
placenta accrete/severe postpartum hemorrhage/Bakri balloon tamponade/natural childbirth/clinical effectiveness分类
临床医学引用本文复制引用
吴丽婷,陈菲菲,陈苗苗,胡娅萍,王莹..Bakri球囊治疗产后大出血的疗效分析[J].兰州大学学报（医学版）,2025,51(2):32-36,65,6.基金项目
湖北省自然科学基金资助项目(2022CFB561) （2022CFB561）
湖北省卫生健康科研资助项目(2021SFYM021) （2021SFYM021）
