多学科协作诊疗模式治疗凶险性前置胎盘的可行性分析  

Feasibility analysis of content of multidisciplinary diagnosis and treatment mode in the treatment of dangerous placenta previa

作　　者：邱强[1] 徐学娟[1] QIU Qiang;XU Xuejuan(Department of Obstetrics,the Center People,s Hospital of Teng Zhou,Zaozhuang,Shandong,277500,China)

机构地区：[1]滕州市中心人民医院产科,山东枣庄277500

出　　处：《当代医学》2023年第17期131-133,共3页Contemporary Medicine

摘　　要：目的探讨多学科诊疗模式治疗凶险性前置胎盘的可行性。方法选取2017年8月至2021年3月滕州市中心人民医院收治的76例凶险性前置胎盘患者作为研究对象,按照入院时间分为对照组(2017年8月至2019年3月,n=35)与观察组(2019年4月至2021年3月,n=41)。对照组行传统方法治疗,观察组采用多学科协作诊疗模式,比较两组围手术期指标及母婴结局。结果两组均未出现孕产妇死亡及术后肺栓塞。观察组产后出血率、子宫切除率均低于对照组,产后出血量、输红细胞悬液量、住院费用均少于对照组,差异有统计学意义(P<0.05);两组新生儿窒息、穿刺部位血肿及静脉血栓发生率比较差异无统计学意义。结论多学科协作诊疗模式治疗凶险性前置胎盘能降低患者产后出血率和子宫切除率,且减少医疗资源的浪费,值得临床推广应用。Objective To explore the content of multidisciplinary diagnosis and treatment mode in the treatment of dangerous placenta previa.Methods A total of 76 patients with dangerous placenta previa admitted to the Center People's Hospital of Teng Zhou from August 2017 to March 2021 were selected as the research subjects,and they were divided into the control group(from August 2017 to March 2019,n=35)and observation group(from April 2019 to March 2021,n=41)according to the admission time.The control group was treated with traditional methods,and the observation group was treated with content of multidisciplinary diagnosis and treatment mode,the perioperative indicators and maternal and infant outcomes between the two groups were compared.Results There was no maternal death and postoperative pulmonary embolism in both groups.The postpartum hemorrhage rate and hysterectomy rate in the observation group were lower than those in the control group,the postpartum hemorrhage volume,red blood cell suspension volume and hospitalization cost were less than those in the control group,the differences were statistically significant(P<0.05).There were no significant differences in the incidence of neonatal asphyxia,puncture site hematoma and venous thrombosis between the two groups.Conclusion The content of multidisciplinary diagnosis and treatment mode for the treatment of dangerous placenta previa can reduce the rate of postpartum hemorrhage and hysterectomy,and reduce the waste of medical resources,which is worthy of clinical promotion and application.

关 键 词：多学科协作诊疗模式 凶险性前置胎盘 输红细胞悬液 

分 类 号：R714[医药卫生—妇产科学]