凶险性前置胎盘规范化管理临床研究

Standardization Management of Pernicious Placenta Previa

目的:研究凶险性前置胎盘规范化管理的临床作用。方法:将2014年1月至2016年6月在锦江区妇幼保健院妇产科住院进行规范化管理的124例凶险性前置胎盘患者作为研究组,以同期诊断为中央性前置胎盘非瘢痕子宫患者162例作为对照组,比较2组围术期孕产妇情况和围生儿结局。结果:研究组在患者手术时间、输血、子宫切除、胎盘植入和介入治疗等方面均高于对照组(P<0.05)。而术中出血量和围生儿结局无显著性差异(P>0.05)。结论:对凶险性前置胎盘进行规范化管理可明显减少孕产妇出血量,改善母儿结局。

Objective： To investigate the effect of standardization management on pernicious placenta previa .Methods：From January 2014 to June 2016, 124 patients with pernicious placenta previa receiving standardization management in our hospital were selected as research group and 162 patients with central placenta previa but without scar uterus were selected as control group.The clinical data of pregnant women , parturients and perineonates was compared between the two groups .Results：The research group demonstrated longer operation time and higher rates of blood transfusion , hysterectomy , placenta increta , interventional therapy than the control group （P〈0.05）.However, the intraoperative blood loss and perinatal outcomes had no statistically significant differences （ P〉0.05 ） .Conclusion： The standardization management of pernicious placenta previa can obviously reduce the blood loss in pregnant women and parturients , and therefore improve the maternal and neonatal outcomes .