首页|腹主动脉球囊预置术在前置胎盘伴胎盘植入剖宫产术中的应用价值研究

腹主动脉球囊预置术在前置胎盘伴胎盘植入剖宫产术中的应用价值研究

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目的 分析前置胎盘伴胎盘植入剖宫产术中腹主动脉球囊预置术的效果.方法 选取2022年1月—2023年12月黔西南州人民医院收治的70例前置胎盘伴胎盘植入剖宫产术患者为研究对象,根据硬币法分为两组,对照组(35例)给予常规剖宫产手术治疗,观察组(35例)给予腹主动脉球囊预置术治疗.比较两组手术时间、出血量、输血量、术后住院时间、子宫切除率、转入ICU率、并发症发生率、新生儿情况.结果 与对照组相比,观察组手术时间(58.26±12.16)min和术后住院时间(4.15±1.26)d更短,出血量(515.61±121.61)mL和输血量(412.56±54.51)mL更少,差异有统计学意义(P均<0.05).观察组的子宫切除率2.86%、转入ICU率5.71%、并发症总发生率5.71%低于对照组,差异有统计学意义(χ2=3.968、5.285、5.285,P均<0.05).两组新生儿出生体质量比较,差异无统计学意义(P>0.05).观察组Apgar评分高于对照组,差异有统计学意义(P<0.05).结论 前置胎盘伴胎盘植入患者采用腹主动脉球囊预置术能够降低出血量,改善预后.
Study on the Application Value of Abdominal Aortic Balloon Preplace-ment in Cesarean Delivery of Placenta Previa with Placental Implantation
Objective To analyze the effect of abdominal aortic balloon preplacement in cesarean delivery for placenta previa with placenta implantation.Methods 70 patients with placenta previa with placenta implantation for cesarean delivery admitted to Qianxinan Prefecture People's Hospital from January 2022 to December 2023 were selected as the study objects.They were divided into two groups according to the coinage method,the control group(35 cases)was treated with conventional cesarean delivery surgery,and the observation group(35 cases)was treated with abdominal aortic balloon preplacement surgery.The operation time,bleeding volume,blood transfusion volume,postoperative hos-pitalization time,hysterectomy rate,transfer rate to ICU,complication rate,and neonatal condition were compared in two groups.Results Compared with the control group,the observation group had shorter operation time(58.26±12.16)min and postoperative hospitalization time(4.15±1.26)d,and less bleeding(515.61±121.61)mL and blood transfusion(412.56±54.51)mL,and the differences were statistically significant(all P<0.05).The hysterectomy rate of 2.86%,transfer to ICU rate of 5.71%,and complication rate of 5.71%in the observation group were lower than those of the control group,and the differences were statistically significant(χ2=3.968,5.285,5.285,all P<0.05).There was no sta-tistically significant difference in the comparison of birth weight of newborns between the two groups(P>0.05).Apgar score in the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The use of abdominal aortic balloon preplacement in patients with placenta previa with pla-centa implantation can reduce bleeding and improve prognosis.

Placenta previaPlacenta implantation cesarean deliveryAbdominal aortic balloon preplacement

唐安萍、王卓

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黔西南州人民医院产科,贵州黔西南布依族苗族自治州 562400

前置胎盘 胎盘植入剖宫产术 腹主动脉球囊预置术

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(8)