MDT护理模式在凶险性前置胎盘并胎盘植入剖宫产中的价值探讨

On Value of MDT Nursing Mode in Cesarean Section with Pernicious Placenta Previa and Placenta Accreta

目的探讨MDT护理模式在凶险性前置胎盘并胎盘植入剖宫产中的价值。方法选取2018年5月至2019年5月我院凶险性前置胎盘并胎盘植入剖宫产产妇60例,分为2组:一组常规基础性护理模式组(30例),一组MDT护理模式组(30例),统计分析两组产妇的手术时间、术中出血量、输血量、新生儿结局以及产妇并发症发生率情况。结果MDT护理模式组产妇的术中出血量、术中输血量均显著少于常规基础性护理模式组(P<0.05),子宫切除率6.7%(2/30)显著低于常规基础性护理模式组33.3%(10/30)(P<0.05),新生儿出生后5minApgar评分显著高于常规基础性护理模式组(P<0.05),新生儿窒息率显著低于常规基础性护理模式组16.7%(5/30)(P<0.05),产妇术后贫血、产褥感染发生率10.0%(3/30)、6.7%(2/30)均显著低于常规基础性护理模式组36.7%(11/30)、26.7%(8/30)(P<0.05)。结论MDT护理模式在凶险性前置胎盘并胎盘植入剖宫产中的价值较常规基础性护理模式高。

Objective To explore the value of MDT nursing mode in cesarean section with pernicious placenta previa and placenta accreta. Methods 60 cases of cesarean section with pernicious placenta previa and placenta accreta in our hospital from May 2018 to may 2019 were selected and randomly divided into two groups: a group of routine basic nursing mode group(30 cases) and a group of MDT nursing mode group(30 cases). Results The amount of blood loss and blood transfusion during operation in MDT nursing model group were significantly less than those in routine basic nursing mode group(P<0.05), hysterectomy rate was 6.7%(2/30) which was significantly lower than that of routine basic nursing mode group 33.3%(10/30)(P<0.05). Apgar score of newborns 5 minutes after birth was significantly higher than that of routine basic nursing mode group(P<0.05). The incidence of postoperative anemia and puerperal infection was 10.0%(3/30) and 6.7%(2/30), which were significantly lower than those of 36.7%(11/30) and 26.7%(8/30), respectively(P<0.05). Conclusion The value of MDT nursing mode in cesarean section with pernicious placenta previa and placenta accreta is higher than that of routine basic nursing mode.