前置胎盘妊娠子宫动脉栓塞术引产围术期干预效果分析

Clinical efficacy of adjuvant intervention before labor induction of pregnant women with placenta previa after uterine artery embolization

目的:探究妊娠中期前置胎盘行子宫动脉栓塞术引产围术期干预的临床效果。方法;选取2018年1月-2019年2月本院收治的120例妊娠期前置胎盘行动脉栓塞术引产患者,按照随机数字表法分为观察组和对照组各60例,对照组行常规术前准备,观察组在围手术期开展针对性辅助干预,对比两组手术疗效。结果:观察组住院时间(5.5±2.4d)低于对照组(6.4±2.5d),术中出血量(117.4±19.0ml)、术后出血量(117.4±19.0ml)低于对照组(146.2±32.5ml、143.2±36.8ml)(均P<0.05),发热(10.0%)、阴道出血(11.7%)、失血性休克(1.7%)等并发症发生率均低于对照组(25.0%、23.3%、11.7%)(P<0.05);两组手术时间、术中及术后大出血发生率无差异(P>0.05)。结论:对妊娠中期前置胎盘行动脉栓塞术引产患者在围手术期针对性辅助干预,能更好促进患者术后康复。

Objective:To investigate the clinical efficacy of adjuvant intervention before labor induction of pregnant women with placenta previa after uterine artery embolization(UAE).Methods:120 pregnant women with placenta previa who experienced UAE were randomly divided into two groups(60 cases in each group)from January 2018 to February 2019.The women in the control group were given routine preoperative preparation,and the women in the observation group were given adjuvant intervention within the perioperative period except routine preoperative preparation.The clinical efficacy of women was compared between the two groups.Results:The time of stay in hospital,postoperative blood loss,and the incidence of complications,such as fever rate,vaginal bleeding rate,and hemorrhagic shock rate of women in the observation group were 5.5+-2.4d,117.4+-19.0ml,10.0%,11.7%,and 1.7%,respectively,which were all significant lower than those(6.4+-2.5d,146.2+-32.5ml,25.0%,23.3%,and 11.7%,respectively)of women in the control group(all P<0.05).There were no significant difference in operative time,and the incidences of intraoperative and postoperative profuse hemorrhage of women between the two groups(P>0.05).Conclusion:The adjuvant intervention before labor induction for treating women with placenta previa after UAE during the second trimester can promote the recovery of women after operation.