中央性前置胎盘的临床分析与护理

Clinical analysis and nursing of complete placenta previa

目的探讨中央性前置胎盘的护理对策。方法采用病例对照研究方法，选取2016年1月至2016年12月在本院规律产检并进行剖宫产分娩的中央性前置胎盘孕妇80例为研究组，同期在本院行剖宫产分娩的无胎盘附着异常的孕妇中选取80例为对照组。对照组按照产科常规护理方法进行护理，研究组根据中央性前置胎盘的临床特点有针对性地实施护理措施。对比两组的术中出血量、手术时间和产后2-24h出血量，总结中央性前置胎盘的护理对策。结果研究组的手术时间（61．86±4．15）min、术中出血量（925．38±61．81）ml均大于对照组的手术时间（43．85±1．25）min与术中出血量（333．12±9．63）ml（P〈0．05）；而研究组产后2-24h的出血量（110．86±17．58）ml与对照组（102．51±10．04）ml比较差异无统计学意义（P〉0．05）。结论在中央．性前置胎盘的常规护理上，需要重点加强术前与术中的护理。

Objective To explore tile nursing methods for complete placenta previa. Methods A case- control study was conducted. 80 pregnant women with complete placenta previa who underwent regular prenatal care and cesarean delivery in our hospital from January to December 2016, were selected as the study group. 80 pregnant women without abnormal placenta who underwent cesarean delivery in our hospital during the same period were selected as the control group. The control group received routine obstetric nursing care, while tile study group received the targeted nursing intervention according to the clinical characteristics of complete placenta previa. Compared the amount of intraoperative bleeding, operative time, the amount of bleeding during postpartum 2-24 hours of the two groups. The nursing methods of complete placenta previa were then summarized. Results The alnount of intraoperative bleeding and tile operative time in the study group were significantly higher than those in the control group [（925.38±61.8）ml vs.（333.12±9.63）ml, （61.86±4.15）min vs.（43.85＋1.25）min; P〈0.05]; there was no statistically significant difference in the amount of bleeding during postpartum 2-24 hours between tile study group and the control group [（110.86±17.58）ml vs. （102.51±10.04）ml, P〉0.05]. Conclusion In the routine nursing methods of complete placenta previa, preoperative and intraoperative nursing should be emphasized.