首页|腹主动脉球囊阻断术配合剖宫产术在凶险性前置胎盘并胎盘植入中的应用效果

腹主动脉球囊阻断术配合剖宫产术在凶险性前置胎盘并胎盘植入中的应用效果

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目的 分析腹主动脉球囊阻断术(IABO)配合剖宫产术在凶险性前置胎盘(PPP)并胎盘植入(PA)中的应用效果.方法 以2021年2月至2022年12月驻马店市中医院收治的120例PPP并AP的剖宫产产妇为研究对象,随机将其分为两组.对照组(60例)接受常规剖宫产手术,观察组(60例)在剖宫产的基础上接受IABO,对比手术指标、产妇结局以及新生儿Apgar评分.结果 观察组手术时间较对照组长,手术出血量和手术输血量均少于对照组,且住院时间短于对照组(P<0.05);观察组转入重症监护、子宫切除、产褥感染以及失血性休克的发生率低于对照组(P<0.05);观察组1、5、10 min的Apgar评分均高于对照组(P<0.05).结论 IABO配合剖宫产术可有效降低PPP并胎盘植入产妇在剖宫产中的出血量和子宫切除率,改善产妇结局的同时还可提高新生儿Apgar评分,具有较高的临床价值.
Application Effect of Abdominal Aortic Balloon Occlusion Combined with Cesarean Section in Dangerous Placenta Previa and Placenta Implantation
Objective To analyze the effect of intra-aortic balloon occlusion(IABO)on women with pernicious placenta previa(PPP)and placenta accreta(PA)undergoing cesarean section.Methods A total of 120 cases of cesarean section women with PPP and AP admitted to Zhumadian Hospital of Traditional Chinese Medicine from February 2021 to December 2022 were selected as the research objects,and they were randomly divided into two groups.The control group(60 cases)received conventional cesarean section only,and the observation group(60 cases)received abdominal aorta balloon occlusion on the basis of cesarean section.The surgical indexes,maternal outcomes and neonatal Apgar scores were compared.Results The observation group had a longer surgical time compared to the control group,with less surgical bleeding and blood transfusion,and a shorter hospital stay than the control group(P<0.05).The incidence of intensive care,hysterectomy,postpartum infection,and hemorrhagic shock in the observation group was lower(P<0.05).The Apgar scores of the observation group at 1,5 and 10 minutes were higher than those of the control group(P<0.05).Conclusion IABO can effectively reduce the blood loss and hysterectomy rate of women with PPP and PA during cesarean section,improve the maternal outcome and increase the neonatal Apgar score,which has high clinical value.

intra-aortic balloon occlusionplacenta accretapernicious placenta previacaesarean section

李树云、刘玉霞、李焕霞

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驻马店市中医院家庭化产房,河南驻马店 463000

腹主动脉球囊阻断术 胎盘植入 凶险性前置胎盘 剖宫产术

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(16)