目的 探讨子宫填塞球囊应用于凶险性前置胎盘剖宫产术中的临床护理。方法 选取2016年3月—2018年12月收治78例凶险性前置胎盘患者,随机分为对照组、研究组,均39例。两组剖宫产术中均应用子宫填塞球囊,对照组实施临床常规护理,研究组在此基础上实施综合护理干预,对比两组临床指标、术后并发症发生率、焦虑抑郁评分及护理满意度。结果 研究组手术用时、术后出血量及填塞物留置时间均低于对照组(P<0.05);两组并发症发生率分别为2.56%、12.82%,差异有统计学意义(P<0.05);护理前两组焦虑、抑郁评分无显著性差异,护理后研究组低于对照组(P<0.05);两组护理满意度分别为97.44%、84.62%,差异有统计学意义(P<0.05)。结论 对凶险性前置胎盘患者而言,子宫填塞球囊是一种理想的治疗方式,通过联合综合护理干预可有效缩短手术时间,减少术后出血量及并发症的发生,改善患者不良心理,提高护理满意度,值得临床应用推广。

Objective To study the nursing interventions using postpartum balloon for dangerous placenta previa patients with cesarean section.Methods A total of 78 pregnant women with dangerous placenta previa who underwent postpartum balloon treatment during cesarean section from March 2016 to December 2018 in our hospital were selected and randomly assigned to two groups, 39 cases in each group.The control group was given conventional nursing; and the research group was additionally given comprehensive nursing interventions.The clinical indicators, postpartum complication rate, anxiety and depression scores, and nursing satisfaction were compared between the two groups.Results Compared with control group, the research group had shorter operation time and indwelling time of balloon, and lower postpartum bleeding volume (P＜0.05).The complication rates in the research group and the control group were 2.56% and 12.82%, respectively (P＜0.05).Before intervention, the anxiety and depression scores between the two groups were not significantly different; after intervention, the score in the research group were lower than that in the control group (P＜0.05).The nursing satisfaction rates in the research group and control group were 97.44% and 84.62%, respectively (P＜0.05).Conclusion Postpartum balloon is ideal for the treatment of dangerous placenta previa.Through combining comprehensive nursing interventions, the operation time, postpartum bleeding volume, and complication rate are reduced, and nursing satisfaction is increased, indicating that the combined method is worthy of clinical application.