凶险型前置胎盘与普通型前置胎盘对孕妇的危害性分析

Hazard analysis on pregnant women with pernicious placenta previa and common type of placenta previa

目的探索研究凶险型前置胎盘以及普通型前置胎盘对孕产妇的危害性,寻求针对性的治疗和护理方法。方法选择我院收治的凶险型前置胎盘以及普通型前置胎盘孕产妇共计100例作为研究对象并按照疾病类型进行分组研究,凶险型患者属于研究组,普通型患者属于对照组,每组各50例。将两组患者手术情况以及胎儿情况等进行对比分析。结果研究组进行手术治疗时间以及术中出血量均显著多于对照组(P<0.05);研究组产后出血比例为90.00%,显著高于对照组的36.00%(P<0.05)。研究组胎盘植入比例、子宫切除比例以及输血比例均显著高于对照组(P<0.05)。研究组早产儿发生率、重度窒息率、气管插管率以及并发症发生率和死亡率均高于对照组,但差异不具有统计学意义(P>0.05)。结论前置胎盘具有较大的危害性,尤其是凶险型前置胎盘危险性更大,应当引起高度重视,选择正确的手术方式,有效减少术中和产后出血,可以有效降低子宫切除的风险。

Objective To explore the harmfulness of placenta previa and normal placenta previa on pregnant women,to seek treatment and nursing methods of. Methods The placenta previa in our hospital and the general type of maternal placenta previa as research object and grouping study,patients with placenta previa as the study group,patients with normal placenta previa as control group. The two groups of patients with operation and fetal condition were analyzed. Results The study group operation time was significantly longer than the control group,the amount of bleeding was significantly more than that of the control group(P < 0. 05); group of postpartum hemorrhage ratio was 90%,significantly higher than the control group 36%(P < 0. 05). The research group of placenta implantation ratio,hysterectomy ratio and blood transfusion rate were significantly higher than control group(P < 0. 05). Study group the incidence of premature birth,asphyxia rate,intubation rate and incidence of complications and mortality were significantly higher than those in control group(P >0. 05). Conclusions Placenta previa has great harmfulness,especially the pernicious placenta previa is more dangerous,should attach great importance to,the choice of correct operation,effectively reduce the intraoperative and postpartum hemorrhage,can effectively reduce the risk of hysterectomy.