中期妊娠胎盘前置状态出血引产行介入治疗的护理总结  

Nursing Summary of Interventional Therapy in Induced Abortion after Placental Hemorrhage in Mid-term of Pregnancy

作　　者：侯晓梅[1] 祁文瑾[1] 

机构地区：[1]昆明医科大学第一附属医院产科,云南昆明650032

出　　处：《昆明医科大学学报》2017年第1期142-144,共3页Journal of Kunming Medical University

基　　金：国家自然科学基金资助项目(81160076);云南省中青年学术技术带头人后备人才培养基金资助项目(2012HB029);云南省医学学科带头人培养基金资助项目(D-201225)

摘　　要：目的探讨中期妊娠胎盘前置状态出血引产行介入治疗的护理方法.方法选取在昆明医科大学第一附属医院栓塞治疗的中期妊娠胎盘前置状态出血进行利凡诺羊膜腔注射引产治疗的患者32例作为研究对象,按照入院先后,将前16例作为实验组,对患者术前、术中与术后进行全方面的护理,后16例作为对照组,仅给予常规护理.分析2组患者治疗效果.结果 32例中期妊娠胎盘前置状态出血引产行介入治疗的患者中,有27例患者胎儿及附属组织娩出,且不存在产后出血,5患者因瘢痕子宫与宫颈性难产导致引产失败,进行栓塞术后6d行剖宫取胎术.实验组治疗总有效率为87.50%(14/16),显效8例,有效6例,对照组总有效率为56.25%(9/16),实验组明显优于对照组,差异有统计学意义(P<0.05).结论在中期妊娠胎盘前置患者中应用子宫动脉栓塞术临床疗效可靠,加强对患者进行术前、术中与术后的护理,能够有效的提高介入治疗的成功率,降低并发症.Objective To study the nursing methods for interventional treatment placenta hemorrhage in patients with placenta previa in the mid-term gestation. Methods in induced abortion after We selected 32 patients with placenta previa who received embolization treatment for induced abortion by rivanol amniotic cavity injection after placenta hemorrhage. According to the admission date, patients were equally divided into 2 groups： 16 cases of patients in the research group received preoperative, intraoperative and postoperative care. and 16 cases in the control group were only given routine care, then the clinical outcomes were compared between two groups. Results Among 32 patients patients with placenta previa who received induced abortion after placenta hemorrhage in the mid-term gestation, 27 patients delivered fetals and affiliated tissues without postpartum hemorrhage, 5 cases of patients who experienced induced labor failure caused by scar uterus and the cervical dystocia were given embolism treatment and uterine-incision delivery 6 days later. The total effective rate was 87.50% （14/16） in the research group and 56.25% （9/16） in the control group, there was a statistically significant difference （P 〈0.05）. Conclusion Uterine artery embolization is effective in treatment of placenta hemorrhage in patients with placenta previa in the mid-term gestation. Strengthening preoperative, intraoperative and postoperative nursing for patients can effectively improve the success rate of interventional treatment and reduce the complications.

关 键 词：介入治疗 中期妊娠 胎盘前置 护理 子宫动脉栓塞术 

分 类 号：R473.71[医药卫生—护理学]