多学科团队参与对胎盘植入患者母婴结局的影响

发布时间：2018-04-01 21:06

本文选题：胎盘植入　切入点：产后出血　出处：《中国实用妇科与产科杂志》2015年05期

【摘要】：目的探讨多学科团队参与对胎盘植入患者母婴结局的影响。方法选择2005年1月1日至2014年1月1日在广州医科大学附属第三医院分娩的临床资料完整的81例胎盘植入患者。根据多学科团队(多团队)参与的情况,分为全程(妊娠期及分娩期)多团队参与组,分娩期多团队参与组,和分娩期无多团队参与(仅有产科与新生儿科)组。回顾性分析三组胎盘植入患者的母儿结局。结果在植入性胎盘中全程多团队参与组和分娩期多团队参与组出血量[(1453.2±991.2)m L和(1536.4±1001.3)m L]、术中输血量[(592.1±301.2)m L和(632.4±279.8)m L]以及早期并发症的比例[26.5%(9/34)和31.8%(7/22)]均低于分娩期无多团队参与组[(1889.3±1403.4)m L、(721.4±298.1)m L和60.0%(15/25)](P0.05)。结论多学科团队参与治疗植入性胎盘可改善产妇妊娠结局,但对新生儿结局则无影响。
[Abstract]:Objective to explore the effect of multidisciplinary team participation on the outcome of placenta implantation. Methods 81 cases of placenta with complete clinical data were selected from January 2005 to January 1, 2014 in the third affiliated Hospital of Guangzhou Medical University. Implanted patients. Based on the involvement of multidisciplinary teams, Divided into full (pregnancy and delivery) multi-team participation group, delivery multi-team participation group, The maternal and fetal outcomes of three groups of placenta accreta patients were retrospectively analyzed. The blood volume [1453.2 卤991.2mL and 1536.4 卤1001.3mL], intraoperative blood transfusions [592.1 卤301.2mL and 632.4 卤279.8mL] and the proportion of early complications [26.55.59.34 and 31.8i / 7 / 22] were lower than those in the non-group group [18889.3 卤143.4mL 721.4 卤298.1mL and 60.015r25]. Conclusion Multidisciplinary team involvement in the treatment of implanted placenta can improve the pregnancy outcome. However, there was no effect on the neonatal outcome.
【作者单位】：广州医科大学附属第三医院妇产科;
【基金】：广东省“2011”产科重点疾病协同创新中心(2015-2020) 广州市“2011”产科重点疾病协同创新中心(2014-2016) 妊娠合并急危重症早期干预和规范化治疗研究及示范(2015-2017)
【分类号】：R714.462

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