Objective To explore the effect of perioperative management in improving pregnant outcome of overwhelming placenta previa. Methods 46 patients with overwhelming placenta previa,who were admitted to our hospital from January 2012 to December 2014,were selected as research group.They were randomly allocated to control group which was given regular treatment and observation group was given perioperative management. Amount of intraoperative bleeding,amount of perioperative bleeding,pregnant outcome and incidence of complications were compared.Results The rate of neonatal asphyxia,the rate of panhysterectomy,the rate of infection and the rate of anemia in observation group were 0,13.04%,13.04% and 8.70% respectively,which was significantly different comparing to 17.39%,39.13%,43.48%,34.78% in control group (P<0.05).The amount of intraoperative bleeding [(952.47±245.78) VS (1264.54±500.21)]mL,amount of perioperative bleeding [(1190.54±324.65) VS (1886.02±536.85)]mL and volume of blood transfusion [(963.12±387.31) VS (1850.40±665.47)]mL in two groups were significantly different (P<0.05).Conclusion Perioperative management can improve pregnant outcome of overwhelming placenta previa and reduce the rate of panhysterectomy and amount of bleeding,which is worthy of clinical application.%目的 探讨围手术期管理对改善凶险性前置胎盘妊娠结局的作用.方法 以我院2012年1月~2014年12月收治的46例凶险性前置胎盘患者为研究对象,随机将其分为两组,对照组患者给予常规管理,观察组患者则行围手术期管理,比较两组术中出血量、围手术期出血量、妊娠结局及并发症情况.结果 观察组新生儿窒息率、全子宫切除率、感染率、贫血率分别为0、13.04%、13.04%、8.70%,与对照组的17.39%、39.13%、43.48%、34.78%比较差异有统计学意义(P<0.05).另外,两组术中出血量[(952.47±245.78) VS(1264.54±500.21)]mL、围手术出血量[(1190.54±324.65)VS(1886.02±536.85)]mL及输血量[(963.12±387.31)VS(1850.40±665.47)]mL比较差异显著(P<0.05).结论 围手术期管理能有效改善凶险性前置胎盘妊娠结局,降低全子宫切除率及出血量,值得临床推广.
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