凶险性前置胎盘产科与介入镶嵌式治疗模式的围手术期管理研究

Perioperative management of obstetric and interventional mosaic treatment mode for pernicious placenta previa

目的探讨凶险性前置胎盘产科与介入镶嵌式治疗模式的围手术期管理。方法选取2014年1月至2016年12月西安交通大学第一附属医院产科收治的凶险性前置胎盘患者28例,采用产科与介入镶嵌式治疗模式,术后随机分为专项管理试验组(n=14例)和常规管理对照组(n=14例),比较两组患者的焦虑(SAS)和抑郁情绪(SDS)、并发症发生率、下床时间、住院时间、对护理服务满意度等指标。结果试验组患者出院时的SDS和SAS评分均低于对照组,差异有统计学意义(t值分别为11.533、8.550,均P<0.001);试验组患者下床时间、住院时间均短于对照组,差异有统计学意义(t值分别为3.472、2.538,均P<0.05);试验组患者对护理服务的满意程度更高(Z=2.332,P<0.01)。结论专项管理能明显改善凶险性前置胎盘患者的焦虑抑郁情绪,缩短患者术后卧床时间和住院时间,提高患者对诊疗服务的满意度,值得在临床推广。

Objective To explore the perioperative management of obstetric and interventional mosaic treatment mode for pernicious placenta previa.Methods Twenty-eight pregnant women with pernicious placenta previa were selected in the First Affiliated Hospital of Xi＇an Jiaotong University from January 2014 to December 2016,and they were given obstetric mode and interventional mosaic treatment mode.After surgery they were randomly divided into special management experimental group（n=14）and normal management control group（n=14）.Two groups were compared in the aspects of SAS,SDS,incidence of complications,lying time,length of hospital stay,and satisfactory degree on nursing services.Results The SDS and SAS scores at discharge in experimental group were lower than those in control group（t value was 11.533 and 8.550,respectively,both P〈0.001）.The lying time and length of hospital stay in experimental group were shorter than those in control group（t value was 3.472 and 2.538,respectively,both P〈0.05）,while the satisfaction degree was higher（Z=2.332,P〈0.01）.Conclusion The special management can relieve the anxiety and depression in patients with pernicious placenta previa,reduce the lying time and length of hospital stay,and improve patients＇ satisfaction degree.It is worthy of clinical promotion.