超选择经导管动脉栓塞术治疗重度产后出血的效果观察  

Effectiveness observation of superselective transcatheter arterial embolization for severe postpartum hemorrhage

作　　者：张玉坤 韩宁[1] 高婉丽 Zhang Yukun;Han Ning;Gao Wanli(Department of Obstetrics and Gynecology,Zhoukou Central Hospital,Zhoukou Henan 466000,China)

机构地区：[1]周口市中心医院妇产科,河南周口466000

出　　处：《保健医学研究与实践》2022年第12期73-76,共4页Health Medicine Research and Practice

摘　　要：目的 探讨超选择经导管动脉栓塞术治疗重度产后出血的效果,以期为临床治疗提供参考。方法 选择2019年1月—2020年1月在周口市中心医院接受治疗的重度产后出血患者86例为研究对象。采用随机数字表法将患者分为研究组、对照组,每组43例。对照组患者进行常规治疗。研究组患者进行超选择经导管动脉栓塞术治疗。比较2组患者止血效果(治疗3 d时评估)及子宫切除发生率。比较2组患者治疗前及出院时生活质量量表(QOL)、抑郁自评量表(SDS)以及焦虑自评量表(SAS)评分。比较2组患者并发症发生情况。比较2组患者治疗前及出院时凝血酶时间(TT)、活化部分凝血活酶时间(APTT)及纤维蛋白原(Fib)水平。结果 研究组患者止血率高于对照组,而子宫切除率低于对照组,差异均有统计学意义(P<0.05)。治疗前,2组患者QOL中躯体功能、社会功能、认知功能、角色功能维度评分比较,差异无统计学意义(P>0.05)。出院时,2组患者QOL中躯体功能、社会功能、认知功能、角色功能维度评分均高于治疗前,且研究组高于对照组,差异均有统计学意义(P<0.05)。治疗前,2组患者SDS、SAS评分比较,差异无统计学意义(P>0.05)。出院时,2组患者SDS、SAS评分均低于治疗前,且研究组低于对照组,差异均有统计学意义(P<0.05)。研究组患者并发症发生率低于对照组,差异有统计学意义(P<0.05)。治疗前,2组患者Fi B水平及APTT、TT比较,差异无统计学意义(P>0.05)。出院时,2组患者Fi B水平均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05)。出院时,2组患者APTT、TT短于治疗前,且研究组短于对照组,差异有统计学意义(P<0.05)。结论 对重度产后出血患者进行超选择经导管动脉栓塞术治疗的临床效果理想,可有效止血,提高患者生活质量,改善凝血指标水平,降低并发症发生率,值得推广应用。Objective To investigate the effectiveness of superselective transcatheter arterial embolization in the treatment of severe postpartum hemorrhage.Methods Eighty-six patients with severe postpartum hemorrhage who received treatment in Zhoukou Central Hospital from January 2019 to January 2020 were selected as the study participants.They were assigned to an experimental group and a control group by random number table,with 43 cases in each group.Patients in the control group received conventional treatment.Patients in the experimental group received superselective transcatheter arterial embolization.The hemostatic effect(assessed at 3 days of treatment) and the incidence of hysterectomy were compared between the 2 groups.The scores of quality of life(QOL),self-rating depression scale(SDS),and self-rating anxiety scale(SAS) were compared between the two groups before treatment and at discharge.Complications were compared between the2 groups.Thrombin time(TT),activated partial thromboplastin time(APTT) and fibrinogen(Fib) levels were compared between the two groups before treatment and at discharge.Results The hemostatic rate in the experimental group was higher than that in the control group,while the hysterectomy rate was lower than that of the control group,with statistically significant differences(P<0.05).Before treatment,there was no significant difference in physical function,social function,cognitive function,and role function dimension scores in the QOL between the 2 groups(P>0.05).At discharge,the physical function,social function,cognitive function,and role function dimension scores in the QOL were significantly higher in the 2 groups than before treatment,with the experimental group higher than the control group(P<0.05).Before treatment,there was no significant difference in SDS and SAS scores between the two groups(P>0.05).At discharge,SDS and SAS scores were significantly lower in the 2 groups than before treatment,with the experimental group lower than the control group(P<0.05).The incidence rate of co

关 键 词：超选择经导管动脉栓塞术 重度产后出血 安全性 生活质量 

分 类 号：R81[医药卫生—放射医学]