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目的探讨对凶险型前置胎盘产妇采用应急预案管理的效果。方法选取2014年10月-2015年4月在医院分娩的19例凶险型前置胎盘患者为对照组,2015年5-11月17例凶险型前置胎盘患者为研究组,对照组采用产科常规诊疗方法,研究组采用由多学科组成的抢救小组讨论制定的“应急预案”方法管理,对两组术中出血量、输血量、住院日、满意度(包括医疗环境、医护人员专业技能、优质护理、医患关系)进行比较。结果研究组术中出血量(2 350±560)ml、输血量(1 280±740)ml、住院日(5.8±1.5)d少于对照组出血量(4 560±860)ml、输血量(3 460±920)ml、住院日(7.9±1.6)d,研究组满意度(7.6±1.6)分较对照组(5.5±1.4)分高,差异均有统计学意义(P<0.05)。结论对凶险型前置胎盘采取应急预案管理可减少术中出血及输血量,降低医疗风险,减少住院日,提升产妇满意度。
Objective To explore the effect of using contingency plan management for aggressive placenta previa. Methods Nineteen patients with malignant placenta previa who delivered in the hospital from October 2014 to April 2015 were selected as the control group. From May to November 2015, 17 cases of dangerous placenta previa were selected as the study group, while the control group were treated with obstetrics and gynecology Diagnosis and treatment methods, the research team adopted a multi-disciplinary rescue team discussion developed by the “contingency plan” method of management, the two groups of blood loss, blood transfusion, hospitalization day, satisfaction (including the medical environment, medical professional skills , Quality care, doctor-patient relationship). Results The intraoperative blood loss (2350 ± 560) ml, transfusion volume (1280 ± 740) ml, hospitalization day (5.8 ± 1.5) d were less than that of the control group (4 560 ± 860) ml, (P <0.05). The satisfaction rate of the study group (7.6 ± 1.6) was significantly higher than that of the control group (5.5 ± 1.4), the difference was statistically significant (P <0.05). Conclusions The contingency plan management of dangerous placenta previa can reduce intraoperative bleeding and blood transfusion, reduce medical risks, reduce hospitalization days and improve maternal satisfaction.