摘要
目的探讨不同时机体位摆放对凶险性前置胎盘患者母婴结局的影响。方法选取2018年8月至2019年12月我院收治的50例凶险性前置胎盘患者为研究对象,采用随机数字表法将其等分为对照组和观察组,全部患者均在腰硬联合麻醉下行剖宫产术,麻醉后均在右腰臀部垫特制沙袋,对照组手术开始时将沙袋移出,观察组手术开始后剖开子宫前移出。比较两组产妇不良结局、焦虑发生率、满意度、新生儿窒息发生率、新生儿转入新生儿重症监护病房(NICU)、新生儿出生后1 min及5 min Apgar评分。结果观察组升压药使用率、仰卧位低血压综合征发生率、剖宫产加子宫球囊堵塞率、焦虑情绪发生率低于对照组(P<0.05)。两组新生儿窒息率、转入NICU率比较差异无统计学意义(P>0.05)。观察组新生儿出生后1 min Apgar评分高于对照组(P<0.05);出生后5 min两组新生儿Apgar评分比较差异无统计学意义(P>0.05)。两组产妇满意度比较差异无统计学意义(P>0.05)。结论为凶险性前置胎盘产妇手术开始后剖开子宫前移出特制沙袋并进行体位摆放,可减少产妇不良结局,提高新生儿Apgar评分,有利于母婴安全。
Objective To explore the effect of different opportunity positions on the maternal and infant outcomes of patients with dangerous placenta previa.Methods To select 50 cases of patients with dangerous placenta previa admitted to our hospital from August 2018 to December 2019 as the study objects,and they were divided into a control group and an observation group by a random number table method.All patients were implemented a cesarean section under combined spinal-epidural anesthesia,a special sandbag was placed on the right waist and hip after anesthesia.The sandbag was removed at the beginning of the operation in the control group,and the observation group was removed before the uterus was opened after the operation began.The adverse maternal outcomes,incidence rate of anxiety,satisfaction,incidence rate of neonatal asphyxia,neonatal transfer to NICU,and Apgar scores at 1 minute and 5 minutes after birth were compared between the two groups.Results The use rate of booster drugs,incidence rate of supine hypotension syndrome,blockage rate of cesarean section and uterine balloon,and incidence rate of anxiety in the observation group were lower than those in the control group(P<0.05).There was no significant difference in neonatal asphyxia rate and NICU transfer rate between the two groups(P>0.05).The Apgar score of newborns in the observation group was higher than that in the control group at 1 minute after birth(P<0.05).There was no significant difference in Apgar scores at 5 minutes after birth between the two groups(P>0.05).There was no significant difference in maternal satisfaction between the two groups(P>0.05).Conclusion After the operation of dangerous placenta previa began,removing the special sandbag and conduct a placement of position before opening the uterus can reduce the adverse maternal outcome and improve the Apgar score of the newborn,which was beneficial to the safety of mothers and newborns.
作者
冯苗倩
张春元
黄伟
刘晓虹
曾伟
FENG Miao-qian;ZHANG Chun-yuan;HUANG Wei;LIU Xiao-hong;ZENG Wei
出处
《护理实践与研究》
2020年第14期80-83,共4页
Nursing Practice and Research
关键词
凶险性前置胎盘
剖宫产
体位摆放
时机
母婴安全
Dangerous placenta previa
Cesarean section
Posture
Timing
Safety of mothers and newborns
