DSA技术在介入栓塞治疗产后大出血中的临床效果及对凝血因子的影响研究

The clinical effect of DSA technique in the treatment of postpartum hemorrhage by interventional embolization and its effect on coagulation factor

目的 :探讨DSA技术在介入栓塞治疗产后出血中的临床效果及对凝血因子的影响。方法:选择2015年5月—2017年10月入院治疗的产后大出血患者50例,所有患者均在DSA技术配合下行介入栓塞治疗,患者治疗前、后采用CA7000全自动血液分析仪对两组治疗前、治疗后纤维蛋白原(FIB)、凝血活酶时间(APTT)、凝血酶原时间(PT)及血小板计数水平,观察患者临床效果及对凝血因子的影响。结果:50例患者均顺利完成DSA技术配合介入栓塞治疗,手术完成时间52min,且48例患者取得手术成功,成功率为96.0%。治疗后PT、APTT,低于治疗前(P<0.05);患者治疗后FIB、血小板水平,高于治疗前(P<0.05)。结论:DSA技术用于介入栓塞治疗产后大出血患者中效果理想,有助于提高临床疗效,改善患者凝血因子水平,值得推广应用。

Objective To investigate the clinical effect of DSA technique in the treatment of postpartum hemorrhage by interventional embolization and its effect on coagulation factor. Methods 50 cases of patients with massive hemorrhage from May 2015-2017 year in October hospitalized postpartum, all patients were in the DSA downlink technique combined with interventional therapy, patients before and after treatment with CA7000 automatic blood analyzer in two groups before and after treatment, fibrinogen(FIB), prothrombin time(APTT), prothrombin time(PT) and the level of platelet count, clinical effects were observed and their effects on blood coagulation factor. Results All 50 patients successfully completed the DSA technology combined with interventional embolization. The operative time was 52 min, and the success rate of the operation was 96% in 48 patients. After treatment, PT and APTT were lower than before treatment(P<0.05); after treatment, the level of FIB and platelets was higher than before treatment(P<0.05). Conclusion DSA technology is ideal for interventional embolization in the treatment of postpartum hemorrhage. It is helpful for improving clinical efficacy and improving coagulation factor level, and is worthy of popularization and application.