摘要
目的 探讨腹主动脉球囊阻断术对凶险性前置胎盘剖宫产患者肾功能、止血效果及妊娠结局的影响。方法 回顾性分析2016年1月~2019年1月广西壮族自治区百色市人民医院收治的80例凶险性前置胎盘剖宫产患者的临床资料。根据剖宫术前有无行腹主动脉球囊阻断术将纳入患者分为对照组(42例,行剖宫产术)和观察组(38例,行腹主动脉球囊阻断术后宫产术)。比较两组患者术中临床指标情况、妊娠结局及术后并发症发生情况;比较两组术前,术后24、48、72 h的肾功能指标。结果 观察组术中出血量、术中输血量均少于对照组(P <0.01),手术时间、住院时间短于对照组(P <0.01)。对照组术后48 h,观察组术后24、48 h肌酐均较术前升高(P <0.05);观察组术后48 h尿酸低于对照组(P <0.05)。观察组产后出血率、术后感染率均低于对照组,而新生儿Apgar评分高于对照组(P <0.05),两组子宫切除率、新生儿畸形率、术后并发症发生率比较差异无统计学意义(P> 0.05)。结论 凶险性前置胎盘剖宫产患者行腹主动脉球囊阻断术,可有效改善围术期指标,改善妊娠结局,且不会对患者肾功能造成很大影响,临床应用价值较高。
Objective To investigate the effect of abdominal aorta balloon block technique on renal function,hemostasis and pregnancy outcome in patients with dangerous placenta previa undergoing cesarean section.Methods Clinical data of 80 patients with dangerous placenta previa underwent cesarean section from January 2016 to January 2019 in Baise People′s Hospital of Guangxi Zhuang Autonomous Region were analyzed retrospectively.According to whether or not performed abdominal aorta balloon block technique before caesarean section,the patients were divided into control group(42 cases,underwent caesarean section)and observation group(38 cases,underwent caesarean section after abdominal aorta balloon block technique).The clinical index,pregnant outcome and postoperative complications of the two groups were compared.The renal function indexes before operation,24,48 and 72 h after operation were compared between the two groups.Results The amount of bleeding and blood transfusion during operation in the observation group were less than those in the control group(P<0.01),and the operation time and hospitalization time were shorter than those in the control group(P<0.01).The creatinine level in the control group 48 h after operation and in the observation group 24 h and 48 h after operation were higher than those before treatment(P<0.05),while the uric acid in the observation group was lower than that in the control group 48 h after operation(P<0.05).The postpartum hemorrhage rate and infection rate in the observation group were lower than those in the control group,but the Apgar score of newborn was higher than that in the control group (P < 0.05). There were no significant differences in the rate of hysterectomy, neonatal malformation and postoperative complications between the two groups (P > 0.05). Conclusion Abdominal aorta balloon block technique in caesarean section patients with dangerous placenta previa can effectively improve perioperative indicators and pregnancy outcomes, and will not have any great impact on renal function of patients. It has a high clinical value.
作者
岑炳奎
王儒发
李妹燕
余雷
潘春红
CEN Bingkui;WANG Rufa;LI Meiyan;YU Lei;PAN Chunhong(Department of Radiology,Baise People′s Hospital,Guangxi Zhuang Autonomous Region,Baise533000,China;Department of Obstetrics and Gynecology,Affiliated Hospital of Youjiang Medical College for Nationalities,Guangxi Zhuang Autonomous Region,Baise533001,China;Department of Intervention,the People′s Hospital of Guangxi Zhuang Autonomous Region,Guangxi Zhuang Autonomous Region,Nanning530012,China;Department of Obstetrics and Gynecology,Baise People′s Hospital,Guangxi Zhuang Autonomous Region,Baise533000,China)
出处
《中国医药导报》
CAS
2019年第32期83-86,共4页
China Medical Herald
基金
广西医疗卫生科研课题（2016040）
广西壮族自治区百色市科研与技术开发项目（百科计20170812）
关键词
腹主动脉球囊阻断术
凶险性前置胎盘
剖宫产
肾功能
止血效果
妊娠结局
Abdominal aorta balloon block technique
Dangerous placenta previa
Cesarean section
Renal function
Hemostatic effect
Pregnancy outcome
