摘要
目的探讨双侧髂内动脉球囊阻断术联合大黄敷脐对凶险性前置胎盘剖宫产术产妇分娩结局的影响。方法选取2020年1月—2021年10月在丽水市妇幼保健院进行剖宫产术的110例凶险性前置胎盘产妇为研究对象,按治疗方法将其分为对照组和观察组,每组各55例。对照组产妇给予常规剖宫产术,观察组产妇在剖宫产术中采用髂内动脉球囊阻断术,术后给予大黄敷脐。比较两组产妇分娩结局(包括手术时间、术中出血量、输血量、新生儿窒息率、住院时间、术后产妇恢复情况及并发症发生情况)。结果观察组产妇术后排气时间、肠鸣音恢复时间及腹胀缓解时间[(30.12±10.26)h、(15.63±5.23)h及(5.70±1.01)h]均短于对照组[(40.22±14.47)h、(17.95±3.91)h及(7.87±1.13)h],差异均有统计学意义(t=5.69、3.551及14.294,均P<0.05)。观察组产妇手术时间、术中出血量、输血量及新生儿窒息率均[(64.01±8.45)min、(878.73±102.34)ml、(312.13±42.33)ml及3.64%]低于对照组[(90.53±16.31)min、(2135.15±213.27)ml、(1048.23±86.51)ml及15.55%],差异均有统计学意义(t/χ^(2)=15.102、21.013、11.527及13.219,均P<0.05)。观察组产妇术后并发症发生率(9.09%)低于对照组(36.36%),差异有统计学意义(χ^(2)=9.027,P<0.05)。观察组产妇住院时间为(4.97±0.60)d,对照组产妇住院时间为(7.18±1.39)d,观察组产妇住院时间短于对照组,差异有统计学意义(t=9.952,P<0.05)。结论前置胎盘剖宫产术中采用髂内动脉球囊阻断术,术后给予大黄敷脐不仅能够减少术中出血量,提高分娩结局,还能缩短术后排气时间、肠鸣音恢复时间及腹胀缓解时间,全面提高手术的安全性和有效性。
Objective To explore the effect of bilateral internal iliac artery balloon occlusion combined with rhubarb umbilical compress on the delivery outcome of dangerous placenta previa cesarean section.Methods A total of 110 pregnant women with dangerous placenta previa who underwent cesarean section in Lishui Maternal and Child Health Hospital from January 2020 to October 2020 were selected and 2021 into control group and observation group,55 cases in each group.The control group was given routine cesarean section,the observation group was given internal iliac artery occlusion during cesarean section,and rhubarb umbilical compress after operation.The delivery outcomes(including operation time,blood loss,blood transfusion,neonatal asphyxia rate,hospital stay,postoperative recovery and complications)were compared between the two groups.Results The observation group puerpera postoperative exhaust time,bowel sound recovery time and abdominal distension relief time[(30.12±10.26)h,(15.63±5.23)h and(5.70±1.01)h]all were shorter than the control group[(40.22±14.47)h,(17.95±3.91)h and(7.87±1.13)h],the difference were statistically significant(t=5.69,3.551 and 14.294,P<0.05).The operation time、blood loss、blood transfusion and neonatal asphyxia rate in the observation group[(64.01±8.45)min,(878.73±102.34)ml,(312.13±42.33)ml and 3.64%]were lower than those in the control group[(90.53±16.31)min,(2135.15±213.27)ml,(1048.23±86.51)ml and 15.55%],the difference were statistically significant(t/χ^(2)=15.102,21.013,11.527 and 13.219,all P<0.05).The incidence of postoperative complications of parturient in the observation group(9.09%)lower than the control group(36.36%),the differences were statistically significant(χ^(2)=9.027,P<0.05).The duration of hospitalization in the observation group was(4.97±0.60)days,and that in the control group was(7.18±1.39)days,the duration of hospitalization in the observation group was shorter than that in the control group,the difference was statistically significant(t=9.952,P<0.05).C
作者
王毅
朱彦霏
叶丰蕾
WANG Yi;ZHU Yan-Fei;YE Feng-Lei(Department of Obstetrics,Lishui Maternal and Children Health Hospital,Lishui,Zhejang 323000,China)
出处
《中国妇幼保健》
CAS
2022年第17期3134-3137,共4页
Maternal and Child Health Care of China
基金
浙江省医药卫生科技计划项目(青年创新人才支持计划)(2020RC152)。
关键词
凶险性
前置胎盘
剖宫产术
髂内动脉球囊阻断术
大黄敷脐
分娩结局
Dangerous
Placenta previa
Cesarean section
Internal iliac artery balloon occlusion
Rhubarb umbilical
Delivery outcome
