前置胎盘伴胎盘植入患者术中辅以一次性宫腔压迫双球囊治疗的效果

Effect of one-time intrauterine compression of double balloon adjuvant therapy on patients with placenta previa and placental implantation during operation

目的研究前置胎盘伴胎盘植入患者术中辅以一次性宫腔压迫双球囊治疗的效果。方法选择2018年1月至2020年12月本院收治的40例前置胎盘伴胎盘植入患者为研究对象,按照随机数字表法将其分为两组,对照组(n=20)采用卡前列素氨丁三醇治疗,观察组(n=20)辅以一次性宫腔压迫双球囊治疗。比较两组的术中相关指标(手术时间、术中出血量、止血时间)、术后相关指标(术后2、24 h出血量、抗生素应用时间、住院时间)、产后出血情况及处理方式、不良反应发生情况、新生儿出生后1、5、10 min的Apgar评分。结果观察组的手术时间长于对照组,术中出血量少于对照组,止血时间短于对照组,差异具有统计学意义(P<0.05)。观察组的术后2、24 h出血量少于对照组,差异具有统计学意义(P<0.05)。两组的抗生素应用时间及住院时间比较,差异不具有统计学意义(P>0.05)。观察组的产后出血率、Blynch缝合术占比、子宫切除术占比及输血率均低于对照组,差异具有统计学意义(P<0.05)。两组的不良反应总发生率比较,差异不具有统计学意义(P>0.05)。观察组新生儿出生后1、5、10 min的Apgar评分均高于对照组,差异具有统计学意义(P<0.05)。结论前置胎盘伴胎盘植入患者术中辅以一次性宫腔压迫双球囊治疗具有较高的临床应用价值。

Objective To study the effect of one-time intrauterine compression of double balloon adjuvant therapy on patients with placenta previa and placental implantation during operation.Methods A total of 40 patients with placenta previa and placental implantation treated in our hospital from January 2018 to December 2020 were selected as the research objects.The patients were divided into two groups according to the random number table method,the control group(n=20)was treated with carboprost aminobutyric triol,and the observation group(n=20)was assisted with one-time intrauterine compression of double balloon therapy.The intraoperative related indexes(operation time,intraoperative bleeding volume,hemostasis time),postoperative related indexes(bleeding volume at 2 and 24 h after operation,antibiotic application time,hospital stay),postpartum hemorrhage and treatment methods,occurrence of adverse reactions and Apgar score at 1,5 and 10 min after birth of newborns were compared between the two groups.Results The operation time of the observation group was longer than that of the control group,the intraoperative bleeding volume was less than that of the control group,the hemostasis time was shorter than that of the control group,and the differences were statistically significant(P<0.05).The bleeding volume at 2 and 24 h after operation in the observation group was less than that in the control group,and the difference was statistically significant(P<0.05).There were no significant differences in antibiotic application time and hospital stay between the two groups(P>0.05).The postpartum hemorrhage rate,the proportion of Blynch suture,the proportion of hysterectomy and blood transfusion rate in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).The Apgar score at 1,5 and 10 min after birth of newborns in the observation group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The one-time intrauterine compression of double balloon adjuvant therapy for patients with placenta previa and placental implantation during operation has high clinical application value.