摘要
目的:分析保留胎膜剖宫产在早产孕妇中的应用效果。方法:选取2022年1月—2023年8月于东莞市长安医院行剖宫产的早产孕妇80例作为研究对象,随机分为观察组和对照组,各40例。对照组实施常规剖宫产,观察组实施保留胎膜剖宫产。比较两组治疗效果。结果:观察组术中出血量、产后24 h出血量少于对照组,差异有统计学意义(P<0.001)。术前,两组红细胞计数、血细胞比容、血红蛋白水平比较,差异无统计学意义(P>0.05);术后3 d,两组红细胞计数、血细胞比容、血红蛋白水平低于术前,但观察组高于对照组,差异有统计学意义(P<0.05)。观察组脐动脉pH、脐静脉血红蛋白水平高于对照组,肿瘤坏死因子-α水平低于对照组,差异有统计学意义(P<0.05)。观察组新生儿出生后1、5 min阿普加评分高于对照组,差异有统计学意义(P<0.05)。结论:保留胎膜剖宫产在早产孕妇中的应用效果显著,可减少孕妇术中及产后24 h出血量,减轻早产儿机体损伤。
Objective:To analyze the application effect of cesarean section with preserved fetal membrane in pregnant women with premature delivery.Methods:From January 2022 to August 2023,80 pregnant women with preterm delivery who received cesarean section in the Hospital of Chang'an Dongguan were selected as the study subjects.They were randomly divided into control group and observation group,with 40 cases in each group.The control group received routine cesarean section,and the observation group received cesarean section with preserved fetal membrane.The treatment effects were compared between two groups.Results:The intraoperative blood loss and 24 h postpartum blood loss in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.001).Before operation,there was no significant difference in red blood cell count,hematocrit and hemoglobin levels between the two groups(P>0.05).On 3 d after operation,the red blood cell count,hematocrit and hemoglobin levels in the two groups were lower than those before operation,but the levels in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).The umbilical artery pH and umbilical vein hemoglobin levels in the observation group were higher than those in the control group,and the levels of tumor necrosis factor-αin the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).The Apgar score of neonates at 1 min and 5 min after birth in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Cesarean section with preserved fetal membrane has a significant effect in pregnant women with premature delivery,and can reduce the intraoperative blood loss and 24 h postpartum blood loss,and relieve the physical damage to premature infants.
作者
赵雅玲
罗秋兰
黎海龙
刘娇兰
Zhao Yaling;Luo Qiulan;Li Hailong;Liu Jiaolan(Hospital of Chang'an Dongguan,Dongguan 523843,Guangdong Province,China)
出处
《中国社区医师》
2024年第14期61-63,共3页
Chinese Community Doctors
基金
东莞市社会发展科技项目(2021年面上项目)(编号:20211800902372)。
关键词
保留胎膜剖宫产
早产
孕妇
阿普加评分
Cesarean section with preserved fetal membrane
Premature delivery
Pregnant women
Apgar score
