摘要
目的探讨多学科协作诊疗模式在凶险性前置胎盘治疗中的应用效果。方法选取2015年1月～2018年1月在成都市第五人民医院治疗的凶险性前置胎盘产妇84例,根据诊疗模式将患者分为对照组(n=54)和观察组(n=30),其中对照组给予传统诊疗方法,观察组给予多学科协作诊疗模式,观察两组临床效果。结果观察组术中出血量和输血量分别为(1 520.04±465.55)ml、(1 401.20±343.33)ml,明显低于对照组的(2 870.44±541.17)、(1 908.46±412.11),差异有统计学意义(P <0.05);子宫切除率为6.67%,明显低于对照组的31.48%,差异有统计学意义(P <0.05)。观察组新生儿窒息比例明显低于对照组,差异有统计学意义(P <0.05);新生儿出生后5 min Apgar评分为(9.10±0.84)分,明显高于对照组(8.03±0.77)分,差异有统计学意义(P <0.05);新生儿死亡、出生体重两组比较差异无统计学意义(P> 0.05)。观察组产褥感染、术后贫血比例分别为6.67%、10.00%,明显低于对照组25.93%、35.19%,差异有统计学意义(P <0.05)。结论多学科协作诊疗模式在凶险性前置胎盘治疗中的应用效果较好,具有降低子宫切除率及输血量等优点,值得临床推广。
Objective To explore the clinical effect of multidisciplinary diagnosis and treatment mode in the treatment of dangerous placenta previa.Methods 84 pregnant women with dangerous placenta previa treated in our hospital from January 2015 to January 2018 were selected,the patients were divided into the control group(n=54)and the observation group(n=30)according to the diagnosis and treatment mode,the control group was given the traditional method of diagnosis and treatment,the observation group was given the multi disciplinary cooperative diagnosis and treatment mode,and the clinical effects of the two groups were observed.Results The intraoperative blood loss and blood transfusion volume in the observation group were(1520.04±465.55)ml and(1401.20±43.33)ml,were significantly lower than those in the control group(P<0.05);The rate of hysterectomy in the observation group was 6.67%,which was significantly lower than that in the control group(P<0.05);The proportion of asphyxia neonatorum in the observation group was 0.00%,was obviously lower than that of the control group(P<0.05);The 5min after birth Apgar score of the observation group was(9.10±0.84),which was significantly higher than that of the control group(P<0.05);There were no significant difference in neonatal mortality and birth weight between the observation group and the control group(P>0.05);The rates of puerperal infection and postoperative anemia in the observation group were 6.67%and 10.00%,which were significantly lower than those in the control group(P<0.05).Conclusion The multidisciplinary diagnosis and treatment mode has a good effect in the treatment of dangerous placenta previa,has the advantages of reducing hysterectomy rate and blood transfusion volume etc,and is worthy of clinical application.
作者
卢晓红
郑高明
Lu Xiaohong;Zheng Gaoming(Department of Obstetrics and Gynecology,Chengdu Fifth People's Hospital,Chengdu 611130,China)
出处
《中华保健医学杂志》
2018年第6期471-473,共3页
Chinese Journal of Health Care and Medicine
基金
四川省卫计委科研基金项目(17PJ247)
关键词
多学科协作诊疗模式
凶险性前置胎盘
临床效果
Multidisciplinary diagnosis and treatment mode
Dangerous placenta previa
Clinical effect
