摘要
目的研究髂总动脉球囊闭塞断流术下行植入性凶险型前置胎盘剖宫产术患者的临床护理方法.方法选择2016年7月至2017年12月期间,在本院接受髂总动脉球囊闭塞断流术下行植入性凶险型前置胎盘剖宫产术的产妇54例作为研究对象,随机划入观察组和对照组,每组27例,分别接受髂总动脉球囊闭塞断流术下行植入性凶险型前置胎盘剖宫产术的优质护理和常规护理,比较两组患者的保全子宫例数、术中出血量、双侧髂总动脉球囊闭塞断流时间、新生儿Apgar评分、输血浆量.结果两组患者子宫保全例数比较,差异无统计学意义（P 〉 0.05）.观察组产妇平均术中出血量（1 742.6±127.8）ml,双侧髂总动脉球囊闭塞断流时间（25.5±6.2）min,新生儿Apgar评分（7.8±0.4）分,输血浆量（328.5±22.7）ml;对照组产妇平均术中出血量（2 689.7±119.6）ml,双侧髂总动脉球囊闭塞断流时间（29.4±1.8）min,新生儿Apgar评分（6.7±0.3）分,输血浆量（426.5±20.9）ml;两组各指标比较,差异均有统计学意义（均P 〈0.05）.结论髂总动脉球囊闭塞断流术下行植入性凶险型前置胎盘剖宫产术的优质护理配合能够缩短手术时间,加快手术进度,降低术中出血量,减少输血,有较高的临床应用价值.
Objective To study the clinical nursing care for women with implantable dangerous placenta previa who took cesarean section under iliac artery balloon occlusion. Methods 54 women with implantable dangerous placenta previa who took cesarean section under iliac artery balloon occlusion at our hospital from July, 2016 to December, 2017 were selected as study objects and were randomly divided into an observation group and a control group, 27 cases for each group. The observation group took high quality nursing care, and the control group routine nursing care. How many cases had uterine preservation, intraoperative bleeding volume, bilateral iliac artery balloon occlusion time, neonatal Apgar score, and plasma transfusion volume were compared between these two groups. Results The intraoperative bleeding volume, bilateral iliac artery balloon occlusion time, neonatal Apgar score, and plasma transfusion volume were （1 742.6±127.8） ml, （25.5±6.2） min, （7.8±0.4） , and （328.5±22.7） ml in the observation group, and were （2 689.7±119.6） ml, （29.4±1.8） min, （6.7±0.3） and （426.5±20.9） ml in the control group, with statistical differences （all P 〈 0.05）. Conclusion High quality nursing care for women with implantable dangerous placenta previa who took cesarean section under iliac artery balloon occlusion can shorten the operation time and decrease intraoperative bleeding volume and blood transfusion, and has high clinical value.
作者
陆佩华
Lu Peihua(Guangzhou First People＇s Hospital,Guangzhou 510180,China)
出处
《国际医药卫生导报》
2018年第22期3495-3497,共3页
International Medicine and Health Guidance News
