多学科合作在治疗凶险性前置胎盘并胎盘植入剖宫产中的临床价值及对新生儿预后的影响  

Clinical value of multi-disciplinary cooperation in the treatment of cesarean section with pernicious placenta previa and placenta increta and its effect on neonatal prognosis

作　　者：周佩珊[1] 陈海菊[1] 郑燕乐[1] ZHOU Peishan;CHEN Haiju;ZHENG Yanle(Department of Obstetrics and Gynecology,Jieyang People's Hospital in Guangdong Province,Guangdong,Jieyang 522000,China)

机构地区：[1]广东省揭阳市人民医院产科,广东揭阳522000

出　　处：《中国医药科学》2021年第19期116-119,共4页China Medicine And Pharmacy

基　　金：广东省揭阳市科技计划项目(YLWS004)。

摘　　要：目的探讨在治疗凶险性前置胎盘并胎盘植入剖宫产中采用多学科合作诊疗方案的临床价值及其对新生儿预后的影响。方法选取2018年1月—2019年12月到揭阳市人民医院进行前置胎盘并胎盘植入剖宫产术的患者100例,按计算机分组法随机分为观察组和对照组,每组各50例,对照组患者采用常规诊疗方案,观察组患者采用多学科合作诊疗方案,比较两组患者不同诊疗方案下的产后出血率、出血量、输血率、子宫切除情况以及新生儿的预后情况。结果观察组患者产后出血率、输血率均低于对照组,差异有统计学意义(P<0.05),出血量和子宫切除情况均优于对照组,差异有统计学意义(P<0.05);两组患者干预前心率、血压比较,差异无统计学意义(P>0.05),干预后观察组心率、血压低于对照组,差异有统计学意义(P<0.05);观察组新生儿发生窒息情况(8.00%)少于对照组(34.00%),差异有统计学意义(P<0.05)。结论对进行前置胎盘并胎盘植入剖宫产术的患者采用多学科合作诊疗方案可以降低患者的出血率和输血率,患者术后出血量更少,也可有效减少子宫切除情况,新生儿的预后情况更佳,建议在临床加以推广。Objective To explore the clinical value of multi-disciplinary cooperation plan in the treatment of cesarean section with pernicious placenta previa and placenta increta and its effect on neonatal prognosis.Methods A total of 100 patients who came to Jieyang People's Hospital for caesarean section with placenta previa and placenta increta from January 2018 to December 2019 were selected and randomly divided into the observation group and the control group according to computerized grouping method,with 50 patients in each group.Patients in the control group received the conventional treatment plan,while patients in the observation group received the multi-disciplinary cooperative treatment plan.The postpartum hemorrhage rate,hemorrhage volume,blood transfusion rate,hysterectomy of patients and neonatal prognosis under different treatment plans were compared between the two groups.Results The postpartum hemorrhage rate and blood transfusion rate of patients in the observation group were lower than those in the control group,with statistically significant differences(P<0.05).The hemorrhage volume and hysterectomy of patients in the observation group were better than those in the control group,with statistically significant differences(P<0.05).There were no statistically significant differences in terms of heart rate and blood pressure between the two groups before the intervention(P>0.05).The heart rate and blood pressure of patients in the observation group after the intervention were lower than those in the control group,with statistically significant differences(P<0.05).The occurrence of neonatal asphyxia in the observation group(8.00%)was also less than that in the control group(34.00%),with statistically significant difference(P<0.05).Conclusion The application of multi-disciplinary cooperation treatment plan in patients undergoing cesarean section with placenta previa and placenta increta can lower the hemorrhage rate and blood transfusion rate and reduce the hemorrhage volume.It is also effective in less hyste

关 键 词：多学科合作 凶险性前置胎盘并胎盘植入剖宫产术 临床价值 新生儿预后 

分 类 号：R719.8[医药卫生—妇产科学]