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目的:探讨术前放置腹主动脉球囊在前置胎盘剖宫产术产妇中的应用方法及效果。方法:将90例前置胎盘行剖宫产术产妇随机分为观察组和对照组各45例,对照组行常规剖宫产术,观察组术前放置腹主动脉球囊预防术中出血,比较两组术中出血量、子宫切除率、输血率、不良反应发生率。结果:两组术中出血量、子宫切除率、输血率比较差异有统计学意义(P<0.05),不良反应发生率比较差异无统计学意义(P>0.05)。观察组胎儿辐射时间(8.3±1.6)s,辐射剂量(5.3±1.1)m Gy,产后1 min新生儿Apgar评分(8.8±0.6)分。结论:术前放置腹主动脉球囊可有效预防前置胎盘行剖宫产术产妇术中出血,降低子宫切除率、输血率,精心的围术期护理措施可保证产妇手术安全。
Objective: To investigate the method and effect of preoperative placement of abdominal aorta balloon in pre-placental cesarean section. Methods: 90 cases of placenta previa cesarean section were randomly divided into observation group and control group of 45 cases, the control group underwent conventional cesarean section, the observation group placed abdominal aorta balloon to prevent intraoperative bleeding, The blood loss, hysterectomy, blood transfusion rate and incidence of adverse reactions in two groups were compared. Results: The blood loss, hysterectomy and blood transfusion rate were significantly different between the two groups (P <0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P> 0.05). The fetal radiation time (8.3 ± 1.6) s, radiation dose (5.3 ± 1.1) m Gy and neonatal Apgar score (8.8 ± 0.6) points at 1 min postpartum were observed in the observation group. Conclusion: Preoperative placement of abdominal aorta balloon can effectively prevent preoperative placenta previa cesarean section bleeding, reduce hysterectomy, blood transfusion rate, meticulous perioperative nursing measures to ensure the safety of maternal surgery.