摘要
【目的】探讨髂内动脉球囊介入对前置胎盘患者剖宫产术中出血量的影响。【方法】选取2020年12月至2022年6月西安国际医学中心医院收治的86例前置胎盘患者,其中接受髂内动脉球囊阻断术患者43例(观察组),依据术中出血情况进行相应处理患者43例(对照组)。比较两组患者围术期指标(手术时间、术中出血量、输血量、产后血红蛋白量和住院时间)、住院期间并发症发生情况、新生儿出生情况[出生1 min和5 min的阿氏(Apgar)评分、身高、体重及窒息发生率]及两组患者手术前后血清炎症因子[白细胞介素-6(IL-6)、C反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)]水平。【结果】两组患者手术时间比较,差异无统计学意义(P>0.05);观察组患者术中出血量、输血量、住院时间均少于对照组,产后血红蛋白量高于对照组,差异有统计学意义(P<0.05)。两组患者术后血清IL-6、CRP、TNF-α水平均高于同组术前,差异有统计学意义(P<0.05);但两组患者手术前后血清IL-6、CRP、TNF-α水平比较,差异无统计学意义(P>0.05)。两组新生儿出生1 min和5 min的Apgar评分、身高、体重及窒息发生率比较,差异无统计学意义(P>0.05)。观察组患者住院期间并发症发生率(13.95%)明显少于对照组(39.53%),差异有统计学意义(P<0.05)。【结论】髂内动脉球囊阻断术可有效减少前置胎盘患者剖宫产术中出血量、输血量以及术后并发症的发生率,安全性较高。
【Objective】To investigate the effects of internal iliac artery balloon occlusion on intraoperative blood loss in patients with placenta previa undergoing cesarean section.【Methods】A total of 86 patients with placenta previa treated in our department from December 2020 to June 2022 were chosen as research subjects and randomly divided into the observation and the control groups,each group comprising 43 cases.The observation group underwent internal iliac artery balloon occlusion,while the control group used localized suturing,intrauterine packing,and other hemostatic measures,and if necessary,bilateral internal iliac or uterine artery embolization,or hysterectomy.The perioperative indicators(operation time,intraoperative blood loss,transfusion volume,postoperative hemoglobin levels,and hospitalization duration),the incidence of complications during hospitalization,newborn conditions(1-min and 5-min Apgar scores,height,weight,and incidence of asphyxia),and pre-and postoperative serum inflammatory markers(IL-6,CRP,TNF-α)were compared between the two groups.【Results】There was no statistically significant difference in operation time between the two groups(P>0.05).The observation group had significantly lower intraoperative blood loss,transfusion volume,and length of hospital stay,but higher postoperative hemoglobin levels compared to the control group(P<0.05).No significant differences were observed in pre-and post-operative serum IL-6,CRP,and TNF-αlevels between the two groups(P>0.05).However,both groups had significantly elevated levels of IL-6,CRP,and TNF-αpostoperatively compared to preoperatively(P<0.05).The newborn conditions,including 1-min and 5-min Apgar scores,height,weight,and incidence of asphyxia,showed no significant differences between the two groups(P>0.05).The incidence of complications during hospitalization was significantly lower in the observation group(13.95%)than in the control group(39.53%)(P<0.05).【Conclusion】Internal iliac artery balloon occlusion effectively reduces intra
作者
杜玉侠
张珂珂
魏翻艳
DU Yuxia;ZHANG Keke;WEI Fanyan(Department of Obstetrics,Xi'an International Medical Center Hospital,Xi'an Shaanxi 710000)
出处
《医学临床研究》
CAS
2023年第9期1378-1381,共4页
Journal of Clinical Research
关键词
髂动脉
栓塞
治疗性
前置胎盘/外科学
剖宫产术
出血
Iliac Artery
Embolization,Therapeutic
Placenta Previa/SU
Cesarean Section
Hemorrhage
