摘要
目的探讨急性等容血液稀释联合腹主动脉球囊阻断在凶险性前置胎盘剖宫产手术中的应用价值。方法选取2016年1月~2018年1月我院收治的100例凶险性前置胎盘剖宫产手术患者作为研究对象,随机将其分为实验组和对照组,对照组患者术前进行腹主动脉球囊阻断,实验组患者术前进行急性等容血液稀释联合腹主动脉球囊阻断。比较两组患者术中异体血输注例数、术后2小时血常规、外周血中炎性介质CD2、CD4、CD8水平及新生儿娩出后1、5minApgar评分。结果实验组异体血输注例数明显少于对照组,组间比较差异具有统计学意义(P<0.05);实验组患者术后2小时HB、HCT值明显高于对照组(P<0.05);两组新生儿娩出后1、5minApgar评分,组间比较差异无统计学意义(P>0.05);两组产妇术后第3、5天炎性介质CD2、CD4、CD8值,组间比较差异具有统计学意义(P<0.05)。结论在腹主动脉球囊阻断剖宫产术中应用急性等容血液稀释技术是一种创新,它不仅不影响腹主动脉球囊阻断效果,而且能够节约血液资源,减少异体血输注,是阻断技术的有效补充。
Objective This study aimed to explore the application value of acute normovolemic hemodilution combined with abdominal aortic balloon block in cesarean section of dangerous placenta previa.Methods A total of 100 patients with cesarean section of dangerous placenta previa from our hospital between January 2016 and January 2018 were randomly divided into the observation group and control group.The patients in the control group underwent abdominal aortic balloon block before operation.The patients in the observation group underwent acute normovolemic hemodilution combined with abdominal aortic balloon block.The clinical effects in the two groups were compared,including that number of allogeneic blood transfusions,2 hours postoperative blood routine,the inflammatory mediators CD2,CD4,CD8 levels in the peripheral blood and the Apgar scores at 1 and 5 min after the neonatal delivery.Results The number of allogeneic blood transfusions in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).The HB and HCT values at 2 hours after operation in the observation l group were significantly higher than those in the control group(P<0.05).There was no significant difference in Apgar scores at 1 and 5 min after delivery between the two groups(P>0.05).The differences of CD2,CD4 and CD8 values in inflammatory mediators on the 3 rd and 5 th day after surgery between thetwo groups were statistically significant(P<0.05).Conclusion Acute normovolemic hemodilution is an innovation in the application of abdominal aortic balloon block cesarean section.It not only does not affect the abdominal aortic balloon block effect,but also saves blood resources and reduces allogeneic blood transfusion,which is an effective supplement to the blocking technique.
作者
黄科
曹蓉
郭浪涛
彰宁
赵虎
刘超
龚添庆
Huang Ke;Cao Rong;Guo Langtao;Zhang Ning;Zhao Hu;Liu Chao;Gong Tianqing(Department of Anesthesiology,Chengdu Women and Children Center Hospital,Chengdu 610000,China;Department of Radiology Intervention,Chengdu Women and Children Center Hospital,Chengdu 610000,China)
出处
《四川解剖学杂志》
2018年第3期88-91,共4页
Sichuan Journal of Anatomy
基金
成都市卫计委科研课题(No.2016017)
关键词
凶险性前置胎盘
急性等容血液稀释
腹主动脉
球囊阻断
剖宫产
Dangerous placenta previa
Acute normovolemic hemodilution
Abdominal aorta
Balloon occlusion
Cesarean section
