双侧子宫动脉栓塞介入治疗在产后大出血治疗中的疗效及护理体会

目的探讨和提高双侧子宫动脉栓塞介入治疗在产后大出血治疗中的临床疗效，并总结临床护理经验。方法回顾性分析我院接受双侧子宫动脉栓塞介入治疗的产后大出血患者26例，前置胎盘组（实验组）16例，胎盘早剥组（对照组）10例，护理人员对患者在术前、术中及术后情况进行密切观察和精心护理，观察和分析两组患者的临床疗效和护理效果。结果实验组一次栓塞成功率为93．75％（15／16），对照组一次栓塞成功率为100％（10／10），两组栓塞成功率差异无统计学意义（P〉0．05）。两组均止血效果良好，护理规范、到位，并发症发生率差异无统计学意义（P〉0．05）。结论双侧子宫动脉栓塞介入治疗前置胎盘和胎盘早剥引起的产后大出血成功率高，并发症发生率少，两组疗效差异无统计学意义，是一种安全、高效的治疗方法。严密的观察和规范的护理对保证疗效至关重要。

Clinical effectiveness of bilateral uterine artery embolization in treatment of postpartum hemorrhage and nursing experience

Objective To evaluate the clinical effectiveness and safety of bilateral uterine artery embolization in the treatment of postpartum hemorrhage , and summarized the clinical nursing experience . Methods A retrospective analysis of 26 patients who underwent bilateral uterine artery embolization for postpartum hemorrhage.Placenta previa group （experimental group） 16 cases, placental abruption group （control group） 10 cases.In preoperative, intraoperative and postoperative , close observation and careful nursing were given to them.Observed and analyzed the clinical curative effect and nursing effect of two groups of patients . Results Underwent bilateral uterine artery embolization , the embolization success rate of experimental group was 93.75%（15/16）, the embolization success rate of control group was 100%（10/10） .The embolization successrate had no significant difference between two groups of patients （P 〉0.05）.Both of two groups had a good effectof hemostasis.The complication rate had no significant difference between two groups of patients （P 〉0.05）. Conclusions The threshold for bilateral uterine artery embolization in women with PPH （caused by placentaprevia and placental abruption） should be low, as it was associated with a high clinical effectiveness rate and alow complication rate.Close observation and standardize the nursing was very important to ensure curative effect .