改良式剖宫产术在前置胎盘治疗中的应用效果研究

Study on the application effect of modified cesarean section in the treatment of placenta previa

目的 探究前置胎盘治疗中应用改良式剖宫产术的效果。方法 74例前置胎盘产妇,按照随机数字表法分为实验组和对照组,每组37例。实验组采用改良式剖宫产术分娩,对照组采用常规剖宫产术分娩。比较两组手术指标、并发症发生情况及新生儿Apgar评分。结果 实验组术中出血量(224.67±34.67)ml、术后排气时间(12.56±3.45)h、疼痛评分(3.26±0.45)分、手术时间(24.67±2.56)min、初次下床时间(15.78±4.31)h、住院时间(5.32±1.42)d,对照组术中出血量(245.67±33.24)ml、术后排气时间(15.78±3.42)h、疼痛评分(4.89±0.78)分、手术时间(29.76±2.46)min、初次下床时间(26.78±3.62)h、住院时间(8.98±2.56)d。实验组术中出血量少于对照组,疼痛评分低于对照组,术后排气时间、手术时间、初次下床时间及住院时间均短于对照组,差异有统计学意义(P<0.05)。实验组并发症发生率为5.41%,低于对照组的24.32%,差异有统计学意义(P<0.05)。实验组新生儿Apgar评分为(9.32±1.32)分,高于对照组的(6.43±2.34)分,差异有统计学意义(P<0.05)。结论 前置胎盘治疗中采用改良式剖宫产术能改善产妇的手术指标,且降低并发症发生率,提高新生儿Apgar评分,可在临床推广应用。

Objective To investigate the effect of modified cesarean section in the treatment of placenta previa. Methods A total of 74 maternal women with placenta previa were divided into experimental group and control group according to the random numerical table, with 37 cases in each group. The experimental group was delivered by modified cesarean section, while the control group was delivered by conventional cesarean section. The surgical indexes, occurrence of complications and neonatal Apgar score were compared between the two groups. Results In the experimental group, the intraoperative blood loss was(224.67±34.67) ml, the postoperative exhaust time was(12.56±3.45) h, the pain score was(3.26±0.45) points, the operation time was(24.67±2.56) min, the first time to get out of bed was(15.78±4.31) h, and the hospital stay was(5.32±1.42) d;in the control group, the intraoperative blood loss was(245.67±33.24) ml, the postoperative exhaust time was(15.78±3.42) h, the pain score was(4.89±0.78) points, the operation time was(29.76±2.46) min, the first time to get out of bed was(26.78±3.62) h, and the hospital stay was(8.98±2.56) d. The intraoperative blood loss in the experimental group was less than that in the control group;the pain score in the experimental group was lower than that in the control group;the postoperative exhaust time, operation time, first time to get out of bed and hospital stay in the experimental group were shorter than those in the control group;the differences were statistically significant(P<0.05). The incidence of complications in the experimental group was 5.41%, which was lower than 24.32% in the control group, and the difference was statistically significant(P<0.05). The neonatal Apgar score in the experimental group was(9.32±1.32) points, which was higher than(6.43±2.34) points in the control group,and the difference was statistically significant(P<0.05). Conclusion Modified cesarean section in the treatment of placenta previa can improve the surgical indexes of maternal women, reduce the incidence of complications, and improve the neonatal Apgar score, which is worthy of clinical promotion and application.