摘要
目的探讨改良B-lynch缝合术治疗凶险性前置胎盘的效果及对并发症、生化指标的影响。方法选取2018年2月至2021年2月我院收治的90例凶险性前置胎盘患者作为研究对象,按照单双号随机化法将其分为对照组和试验组,各45例。对照组给予常规治疗,试验组给予改良B-lynch缝合术治疗。比较两组的治疗效果。结果试验组的治疗总有效率高于对照组,差异具有统计学意义(P<0.05)。试验组的并发症总发生率低于对照组,差异具有统计学意义(P<0.05)。试验组的体温恢复时间、月经恢复时间、血性恶露恢复时间短于对照组,差异具有统计学意义(P<0.05)。术后48 h,两组的血红蛋白(HB)、血小板(PLT)水平及中心静脉压(CVP)均降低,但试验组高于对照组,差异具有统计学意义(P<0.05);两组的血氧饱和度(SpO2)比较,差异无统计学意义(P>0.05)。结论改良B-lynch缝合术治疗凶险性前置胎盘可提高治疗效果,缩短术后恢复时间,降低出血量,改善患者预后,值得临床推广应用。
Objective To explore the effect of modified B-lynch suture in the treatment of sinister placenta previa and its influences on complication and biochemical indexes.Methods A total of 90 patients with sinister placenta previa admitted in our hospital from February 2018 to February 2021 were selected as the research objects,and the paitents were divided into control group and experimental group according to single and double number randomization method,with 45 cases in each group.The control group was given conventional treatment,and the experimental group was treated with modified B-lynch suture.The therapeutic effects of the two groups were compared.Results The total effective rate of treatment in the experimental group was higher than that in the control group,and the difference was statistically significant(P<0.05).The total incidence of complications in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).The body temperature recovery time,menstrual recovery time and bloody lochia recovery time in the experimental group were shorter than those in the control group,and the differences were statistically significant(P<0.05).At 48 h after operation,the hemoglobin(HB),platelet(PLT)levels and central venous pressure(CVP)of the two groups decreased,those of the observation group were higher than the control group,and the differences were statistically significant(P<0.05);there was no significant difference in the pulse oxygen saturation(SpO2)between the two groups(P>0.05).Conclusion Modified B-lynch suture in the treatment of sinister placenta previa can improve the therapeutic effect,shorten the recovery time after operation,reduce the amount of bleeding,and ameliorate the prognosis of patients,which is worthy of clinical promotion and application.
作者
江安珍
李辉霞
王纯冬
JIANG Anzhen;LI Huixia;WANG Chundong(Gynecology and Obstetrics Department,Ankang People's Hospital,Ankang 725000;No.2 Obstetrics Department,Ankang Maternal and Child Health Hospital,Ankang 725000,China)
出处
《临床医学研究与实践》
2022年第35期77-79,共3页
Clinical Research and Practice
