前置胎盘综合处理干预对产后出血及新生儿状况的影响

Effect of Comprehensive Placenta Previa Treatment on Postpartum Hemorrhage and Neonatal Status

目的探讨妊娠期前置胎盘综合处理干预对产妇产后出血及新生儿状况的影响。方法方便选择2014年2月—2017年1月期间该院收治的90例前置胎盘患者进行研究,按纳入时前置胎盘的类型各自随机将患者分为基础组(n=45)和综合组(n=45)。所有患者均实施期待疗法,基础组实施产科基础处理方案,综合组实施综合处理干预方案,统计分析两组产妇分娩结局及新生儿预后状况。结果综合组分娩平均孕周(37.03±1.12)周、新生儿出生体重(3.01±0.41)kg及出生1 min Apgar评分(8.82±1.16)分均高于基础组(36.29±1.14)周、(2.84±0.38)kg、(8.11±1.14)分(t=3.106、2.040、2.928,P<0.05);产后24 h出血量(380.33±21.67)mL低于基础组的(451.02±26.82)mL(t=13.753,P<0.05);综合组剖宫产发生率75.56%、产后出血发生率4.44%、产褥期感染率6.67%、新生儿呼吸窘迫综合征发生率2.22%、新生儿窒息率4.44%均低于对照组的88.89%、17.78%、20.00%、13.33%、15.56%(χ~2=6.078 8、9.009 8、7.687 6、8.606 9、6.869 7,P<0.05)。结论对妊娠期前置胎盘患者实施综合处理干预可适当延长孕周,改善产妇产后出血及新生儿状况。

Objective To investigate the effect of pregnancies with placenta previa during pregnancy on postpartum hemorrhage and neonatal status. Methods A total of 90 patients with placenta previa treated in the hospital from February 2014 to January 2017 were selected conveniently for study. According to the type of placenta previa at the time of inclusion, patients were randomly divided into basic group（n=45） and comprehensive group（n=45）. All patients were treated with anticipation therapy, basic group with basic obstetrical treatment plan, comprehensive group with comprehensive treatment intervention plan, and statistical analysis of maternal delivery outcomes and neonatal outcomes. Results The mean gestational age（37.03±1.12）week, neonatal birth weight（3.01±0.41）kg, and 1-min birth Apgar score（8.82±1.16）points of the comprehensive components were higher than those of the basic group（36.29±1.14）week,（2.84±0.38）kg,（8.11±1.14）points（t=3.106,2.040, 2.928, P〈0.05）; the amount of bleeding（380.33±21.67）mL at 24 hours postpartum was lower than that of the basic group（451.02±26.82）mL（t=13.753,P〈0.05）; the incidence of cesarean section 75.56%, postpartum hemorrhage（4.44%）, puerperal infection（6.67%）, neonatal respiratory distress syndrome（2.22%）, neonatal asphyxia rate（4.44%） It was lower than the 88.89%, 17.78%, 20.00%, 13.33%, and 15.56% of the control group（χ^2=6.078 8, 9.099 8, 7.687 6, 8.606 9, 6.869 7,P〈0.05）. Conclusion Comprehensive treatment intervention for patients with placenta previa during pregnancy can appropriately extend gestational age, improve maternal postpartum hemorrhage and neonatal status.