多学科协作管理模式对凶险性前置胎盘患者妊娠结局的影响

Effect of Fine Management Model under Multidisciplinary Collaboration on Pregnancy Outcome of Patients with Pernicious Placenta Previa

目的:研究多学科协作下精细化管理模式对凶险性前置胎盘患者妊娠结局的影响。方法:选取2017年6月至2018年11月东莞市麻涌医院收治凶险性前置胎盘患者74例作为研究对象,随机将患者分为观察组37例与对照组37例,对照组采用常规管理模式,观察组采用多学科协作下精细化管理模式。观察两组患者妊娠结局情况。结果:观察组患者的围术期指标术中出血量、围术期出血量、输血量、手术时间、胎儿娩出时间、住院时间均显著少于对照组,差异均具有统计学意义(P <0.001),观察组患者妊娠结局中的子宫切除、新生儿窒息、感染发热发生率显著少于对照组,差异均具有统计学意义(P <0.05)。结论:多学科协作下精细化管理模式对凶险性前置胎盘患者具有较好效果,可改善患者妊娠结局。

Objective To study the effect of fine management model under multidisciplinary collaboration on pregnancy outcome of patients with dangerous placenta previa. Methods 74 cases of patients with dangerous placenta previa admitted to Mayong hospital from June 2017 to November 2018 were selected as research objects. Patients were randomly divided into 37 cases of observation group and 37 cases of control group. Pregnancy outcomes of the two groups were observed. Results perioperative blood loss, perioperative blood loss, blood transfusion, operation time, delivery time and hospital stay were significantly less in the observation group than in the control group(P < 0.05). Pregnancy outcome indicators such as neutron hysterectomy, neonatal asphyxia, infection and fever were significantly lower than the control group, with statistically significant differences(P<0.05). Conclusion the fine management model with multidisciplinary cooperation has good effect on patients with dangerous placenta previa and can improve the pregnancy outcome of patients.