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目的探讨改良式剖宫产术治疗前置胎盘的临床效果。方法选取2014年9月—2015年9月迁安市首钢矿山医院收治的68例前置胎盘患者,随机将患者分为观察组与对照组,各34例。观察组给予改良式剖宫产术治疗,对照组给予传统子宫下段剖宫产术治疗,比较两组患者手术时间、新生儿Apgar评分、术中出血量、首次下床活动与排气时间、术后24h切口疼痛、住院时间、拆线时间。结果观察组患者开始手术到分娩结束时间、手术时间短于对照组,差异有统计学意义(P<0.05)。两组新生儿Apgar评分比较,差异无统计学意义(P<0.05)。观察组患者术中出血量少于对照组,差异有统计学意义(P<0.05)。观察组患者首次下次活动时间、术后排气时间、住院时间、拆线时间短于对照组,术后24h切口疼痛轻于对照组,差异有统计学意义(P<0.05)。结论改良式剖宫产术治疗前置胎盘患者的效果确切,能有效缩短手术时间和住院时间,减轻患者疼痛。
Objective To investigate the clinical effect of modified cesarean section in the treatment of placenta previa. Methods From September 2014 to September 2015, 68 patients with placenta previa admitted to Shougang Mining Hospital of Qian’an City were randomly divided into observation group and control group, with 34 cases in each group. The observation group was treated with modified cesarean section, while the control group was treated with traditional uterine cesarean section. The operation time, neonatal Apgar score, intraoperative blood loss, initial ambulation and ventilation time were compared between the two groups After 24h incision pain, hospitalization time, stitches time. Results In the observation group, the operation time from the beginning of operation to the end of delivery was shorter than that of the control group (P <0.05). There was no significant difference in Apgar score between two groups (P <0.05). The bleeding volume in the observation group was less than that in the control group, the difference was statistically significant (P <0.05). Patients in the observation group had the next active time, postoperative exhaust time, hospitalization time and stitching time shorter than those in the control group. The incision pain was lighter at 24h after operation in the observation group (P <0.05). Conclusion The modified cesarean section treatment of placenta previa patients with exact results, can effectively shorten the operation time and hospital stay, reduce pain.