中期妊娠胎盘前置状态出血引产行介入治疗的护理总结
Nursing Summary of Interventional Therapy in Induced Abortion after Placental Hemorrhage in Mid-term of Pregnancy
-
摘要: 目的 探讨中期妊娠胎盘前置状态出血引产行介入治疗的护理方法.方法 选取在昆明医科大学第一附属医院栓塞治疗的中期妊娠胎盘前置状态出血进行利凡诺羊膜腔注射引产治疗的患者32例作为研究对象, 按照入院先后, 将前16例作为实验组, 对患者术前、术中与术后进行全方面的护理, 后16例作为对照组, 仅给予常规护理.分析2组患者治疗效果.结果 32例中期妊娠胎盘前置状态出血引产行介入治疗的患者中, 有27例患者胎儿及附属组织娩出, 且不存在产后出血, 5患者因瘢痕子宫与宫颈性难产导致引产失败, 进行栓塞术后6d行剖宫取胎术.实验组治疗总有效率为87.50% (14/16) , 显效8例, 有效6例, 对照组总有效率为56.25% (9/16) , 实验组明显优于对照组, 差异有统计学意义 (P<0.05) .结论 在中期妊娠胎盘前置患者中应用子宫动脉栓塞术临床疗效可靠, 加强对患者进行术前、术中与术后的护理, 能够有效的提高介入治疗的成功率, 降低并发症.Abstract: Objective To study the nursing methods for interventional treatment in induced abortion after placenta hemorrhage in patients with placenta previa in the mid-term gestation.Methods We selected 32 patients with placenta previa who received embolization treatment for induced abortion by rivanol amniotic cavity injection after placenta hemorrhage.According to the admission date, patients were equally divided into 2 groups:16 cases of patients in the research group received preoperative.intraoperative and postoperative care.and 16 cases in the control group were only given routine care, then the clinical outcomes were compared between two groups.Results Among 32 patients patients with placenta previa who received induced abortion after placenta hemorrhage in the mid-term gestation, 27 patients delivered fetals and affiliated tissues without postpartum hemorrhage, 5 cases of patients who experienced induced labor failure caused by scar uterus and the cervical dystocia were given embolism treatment and uterine-incision delivery 6 days later.The total effective rate was 87.50% (14/16) in the research group and 56.25% (9/16) in the control group, there was a statistically significant difference (P <0.05) .Conclusion Uterine artery embolization is effective in treatment of placenta hemorrhage in patients with placenta previa in the mid-term gestation.Strengthening preoperative, intraoperative and postoperative nursing for patients can effectively improve the success rate of interventional treatment and reduce the complications.
-
Key words:
- Interventional treatment /
- Mid gestation /
- Placenta previa /
- Nursing /
- Uterine artery embolization
-
[1]杨琳, 王星星, 李琴芬, 等.子宫动脉栓塞术介入治疗在中期妊娠胎盘前置状态引产中的应用[J].中国全科医学, 2013, 16 (24) :2874-2875. [2]何天琼, 黄昌学, 文云惠, 等.介入治疗预防中孕完全性前置胎盘状态引产大出血护理干预[J].四川医学, 2013, 34 (5) :773-774. [3]欧阳焰.子宫动脉栓塞介入治疗在中期妊娠完全性胎盘前置状态引产中的应用[J].中国处方药, 2014, 12 (2) :65-66. [4]胡浩梅, 杨华, 楚素炜, 等.中期妊娠并边缘性胎盘前置患者的引产方法及效果[J].山东医药, 2013, 53 (27) :65-67. [5] [5]TAE-HEE, KIM, HAE-HYEOG, LEE, JEONG J A, KWAK.Conservative management of abnormally invasive placenta:choriocarcinoma with uterine arteriovenous fistula from remnant invasive placenta[J].Acta obstetricia et gynecologica Scandinavica, 2013, 92 (8) :989-990. [6] [6]T H KIM H H, LEE J M, KIM S H CHUNG.Hysterectomy prevention using the uterine hollow obliterations (HYUNHO) method for placenta previa[J].Clinical and experimental obstetrics&gynecology, 2012, 39 (4) :462-465. [7]林流芳, 吉梅, 刘玉环, 等.子宫动脉栓塞术成功应用于中期妊娠前置胎盘状态引产1例报告[J].第二军医大学学报, 2011, 32 (11) :1274. [8] [8]O POUJADE A, DAHER A, BALLOUT EL MAOULA, et al.Uterine necrosis following pelvic arterial embolisation for postpartum haemorrhage:Case report[J].Journal De gynécologie, ObstéTrique et Biologie de la reproduction, 2012, 41 (6) :584-586. [9]李新琳, 张俊.子宫动脉栓塞术对前置胎盘中晚孕引产结局分析[J].重庆医学, 2013, 42 (19) :2212-2213, 2216. [10] [10]PORET-BAZIN H, SIMON E G, BLEUZEN A, et al.Decrease of uteroplacental blood flow after feticide during second-trimester pregnancy termination with complete placenta previa:Quantitative analysis using contrast-enhanced ultrasound imaging[J].Placenta, 2013, 34 (11) :1113-1115. [11]蒋彩燕, 潘爱华, 吴雪清, 等.动脉栓塞治疗中期妊娠胎盘前置状态出血4例[J].实用妇产科杂志, 2007, 23 (6) :381-382. [12]潘爱华, 蒋彩燕, 吴雪清, 等.3例动脉栓塞术治疗中期妊娠胎盘前置状态出血的护理[J].护理与康复, 2007, 6 (3) :209-210. -
点击查看大图
计量
- 文章访问数: 2375
- HTML全文浏览量: 849
- PDF下载量: 81
- 被引次数: 0
下载:
