摘要
目的探讨间歇性阻断腹主动脉治疗植入性前置胎盘的效果。方法抽取2017年6月至2019年12月于郑州大学附属洛阳中心医院接受择期剖宫产手术治疗的68例植入性前置胎盘患者,采用数字奇偶法将入选者分为观察组(奇数)与对照组(偶数),每组34例。对照组接受腹主动脉球囊预置术持续性阻断腹主动脉,观察组接受腹主动脉球囊预置术间歇性阻断腹主动脉,记录并比较两组临床指标。分别于新生儿出生后1、5 min使用Apgar评分量表评估两组新生儿身体状况。记录并比较两组患者子宫切除情况及术后并发症(动脉血栓、下肢感觉障碍)发生情况。结果两组手术时间、术中出血量及输血量比较差异未见统计学意义(P>0.05);但观察组住院时间[(7.87±1.34)d]短于对照组[(8.87±2.43)d],P<0.05。两组新生儿出生后1、5 min Apgar评分比较差异未见统计学意义(P>0.05)。两组患者子宫切除率比较差异未见统计学意义(P>0.05);观察组动脉血栓发生率(8.82%,3/34)及下肢感觉障碍发生率(5.88%,2/34)均低于对照组(41.18%,14/34;44.12%,15/34),P均<0.05。结论植入性前置胎盘患者经间歇性阻断腹主动脉治疗获益明显,可降低动脉血栓发生率及下肢感觉障碍发生率,促进患者快速康复出院。
Objective To investigate the therapeutic effect of intermittent block of abdominal aorta in the treatment of patients with implanted placenta previa.Methods Sixty-eight patients with implanted placenta previa who underwent elective cesarean section in Luoyang Central Hospital Affiliated to Zhengzhou University from June 2017 to December 2019 were selected.The subjects were divided into observation group(odd number)and control group(even number)by digital parity method,with 34 cases in each group.The control group was treated by abdominal aortic balloon presetting to continuously block the abdominal aorta,the observation group was treated by abdominal aortic balloon presetting to intermittently block the abdominal aorta.The clinical indexes of the two groups were recorded and compared.Apgar score scale was used to evaluate the physical condition of newborns of the two groups at 1 and 5 min after birth.The hysterectomy and postoperative complications(arterial thrombosis,lower extremity sensory impairment)were recorded and compared between the two groups.Results There was no significant difference in the operation time,intraoperative blood loss or blood transfusion between the two groups(P>0.05).The hospital stay in the observation group was(7.87±1.34)d,shorter than the(8.87±2.43)d in the control group(P<0.05).There was no significant difference in Apgar score between the two groups at 1 min and 5 min after birth(P>0.05).There was no significant difference in hysterectomy rate between the two groups(P>0.05).The incidences of arterial thrombosis(8.82%,3/34)and lower extremity sensory disturbance(5.88%,2/34)in the observation group were lower than those in the control group(41.18%,14/34;44.12%,15/34),all P<0.05.Conclusions Intermittent block of abdominal aorta has a significant effect in the treatment of patients with implanted placenta previa,which is beneficial to reduce the occurrence of complications,and promote the rapid recovery and discharge of patients.
作者
孙亚兰
Sun Yalan(Department of Obstetrics,Luoyang Central Hospital Affiliated to Zhengzhou University,Luoyang 471000,China)
出处
《中国实用医刊》
2021年第1期50-53,共4页
Chinese Journal of Practical Medicine
关键词
前置胎盘
间歇性阻断腹主动脉
持续性阻断腹主动脉
预后
Placenta previa
Intermittent block of abdominal aorta
Continuous block of abdominal aorta
Prognosis
