腹主动脉球囊预防凶险型前置胎盘术中出血的临床护理研究

Study on clinical nursing of abdominal aorta balloon to prevent the pernicious placenta previa bleeding during operation

目的研究腹主动脉球囊预防凶险型前置胎盘术中出血的临床护理。方法选取2010年5月-2014年10月我院收治的21例凶险型前置胎盘难治性产后出血患者作为研究对象,按照计算机数字法分为对照组12例和治疗组9例。对照组采用传统介入方法治疗,治疗组采用预防性腹主动脉球囊阻断介入术治疗,对两组患者治疗成功率、不良反应发生率进行比较,分析临床护理要点。结果治疗组患者无死亡病例,有效率达100%(9/9),成功率达88.8%(8/9);对照组死亡3例(25.0%),成功率达66.7%(8/12),两组比较,差异具有统计学意义(P<0.05);治疗组不良反应发生率11.1%明显低于对照组66.7%,差异具有统计学意义(P<0.05)。结论把握好凶险型前置胎盘适应证,处理得当,护理到位,该方法是完全有效的方法,可显著减少此类患者的死亡率。

[Objective]To study the prevention of dangerous abdominal aortic balloon placenta previa bleeding of clinical care. [Methods]21 cases of postpartum hemorrhage dangerous type of placenta previa refractory in our hospital from 2010 May to 2014 October were randomly selected,according to the number table method was divided into the control group（n=12, was treated with the traditional intervention methods） and treatment group（n=9, was treated with preventive intervention aortic balloon occlusion therapy）, the success rate adverse reactions were compared in two groups. care points were analyzed clinical. [Results]No deaths in patients treated with pathology, the effective rate of 100%（9/9）, the success rate was 88.8%（8/9）,there was statistical significance（P〈0.05）; the control group died three cases（25.0%）, the success rate was 66.7%（8/12）,there was statistical significance（P〈0.05）. [Conclusion]A good grasp of dangerous type of placenta previa indications, handled properly, care in place, which is a perfectly valid method can significantly reduce the mortality rate of these patients.