综合手术应用于凶险型前置胎盘围手术期治疗的效果

Treatment effect of comprehensive surgical method for pernicious placenta previa during the perioperative period

目的 探讨综合手术治疗应用于凶险型前置胎盘围手术期的治疗效果。方法 随机将我院2015年6月-2016年6月期间收治的凶险型前置胎盘患者84例分为对照组（n=42）和观察组（n=42）,前者应用常规治疗方案,后者应用综合手术治疗方案,对比两组的治疗效果,探讨综合手术治疗的临床价值。结果 观察组月经恢复、血性恶露、异常体温改善的时间均短于对照组（P〈0.05）;观察组术后2 h出血量、术中出血量、手术时间、住院天数显著低于对照组（P〈0.05）;观察组新生儿窒息率与对照组比较,差异无统计学意义（P〉0.05）,观察组子宫切除率明显低于对照组（P〈0.05）。结论 临床上针对凶险型前置胎盘患者,于围手术期应用综合手术治疗方案,所取得的疗效较为理想,有效改善患者病情,临床应用价值较高。

Objective To probe into the treatment effects of comprehensive surgical method for pernicious placenta previa during the perioperative period. Methods 84 cases of patients with placenta previa and who accepted treatments in our hospital from June 2015 to June 2016 were divided into the control group（n=42） and the observation group（n=42）by the random draw methods.In the former were applied conventional treatment, while in the latter were applied comprehensive surgical treatment. The research results were comparative analyzed,and the clinical value of comprehensive surgical treatment were explored. Results The menstrual cycle, abnormal body temperature,improvement time of abnormal body in the observation group were shorter than those in the control group（P〈0.05）; The amount of bleeding after operation for 2 h, amount of bleeding, operation time during the operation,the hospital days in the observation group were significantly lower than the control group（P〈0.05）; And compared with the control group, there was no significant difference in the neonatal asphyxia rate in the observation group（P〈0.05）, The hysterectomy rate of observation group was significantly lower than that of control group（P〈0.05）. Conclusion The clinical for patients with pernicious placenta previa,which the application of comprehensive surgical treatment program in the perioperative, the effect are more ideal,and can effectively improve the patient＇s condition, thus its clinical application value is high.