改良后的负压标本采集装置在羊膜腔穿刺中的应用与效果分析

Application and Effect Analysis of Improved Negative Pressure Specimen Collection Device In Amniocentesis

目的:分析改良的标本采集装置在羊膜腔穿刺中的适用性并与传统标本采集方式进行对比分析。方法:选取2019年1—6月哈尔滨医科大学附属第六医院产前诊断就诊拟施行羊膜腔穿刺术的489例孕妇作为研究对象,对所有孕妇发放问卷,随机分为对照组和实验组,对照组采用传统采集方式,实验组采用改良的采集方式。分析两组孕妇标本采集时间、疼痛程度、耗材费用、标本污染数量、术后并发症发生率、妊娠结局和羊膜腔穿刺术满意情况。结果:实验组孕妇标本采集时间、孕妇疼痛度、耗材费用情况优于对照组,差异有统计学意义(χ^(2)/t=90.990、23.718、118.805、3.220,P<0.05);实验组孕妇术后第一周并发症发生情况低于对照组,差异有统计学意义(χ^(2)=3.998,P<0.05);两组孕妇术后第二周并发症发生情况及不良妊娠结局情况,差异无统计学意义(χ^(2)=0.308、0.075,P>0.05);实验组孕妇羊膜腔穿刺术满意度高于对照组,差异有统计学意义(χ^(2)=48.83,P<0.05)。结论:改良后的装置缩短了采集时间,提高了效率,减轻了疼痛,降低了不良反应发生率,改善了孕妇在产前诊中羊膜腔穿刺的体验,提高了孕妇的满意度。

Objective:To analyze the applicability of an improved specimen collection device in amniocentesis and compare it with traditional specimen collection methods.Methods:489 pregnant women undergoing amniocentesis in the hospital from January to June 2019 were divided into control group and experimental group.The control group used traditional collection methods,while the experimental group used improved collection methods.The collection time,pain level,consumables cost,sample contamination quantity,postoperative complication rate and pregnancy outcome of two sets of specimens were analyzed.Results:The sample collection time,pain degree and consumable cost of pregnant women in the experimental group were better than those in the control group,with statistically significant difference(χ^(2)/t=90.990,23.718,118.805,3.220;P<0.05).The incidence of 1-week postoperative complications was significantly lower in the experimental group than in the control group(χ^(2)=3.998,0.308;P<0.05).There was no significant difference in 2-week postoperative complications and adverse pregnancy outcomes between the two groups(χ^(2)=0.308,0.075,P>0.05).The satisfaction of amniocentesis in the experimental group was higher than that in the control group,and the difference was statistically significant(χ^(2)=48.83,P<0.05).Conclusion:The improved device has shortened the collection time,improved efficiency,reduced pain,reduced the incidence of adverse reactions,improved the patient experience of amniocentesis in the antenatal clinic,and enhanced patient satisfaction.