多学科协助在中央性前置胎盘剖宫产产妇中的效果评价
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熊晓婷
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清远市妇幼保健院，广东清远，511500
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摘要：目的 研究中央性前置胎盘剖宫产护理中多学科协助护理的应用价值。方法 选取2022年1月至2025 年1 月我院收治的60 例中央性前置胎盘剖宫产产妇，随机分为观察组与对照组，各30 例。对照组实施常规护理，观察组在常规护理基础上采用多学科协作护理模式。比较两组产后出血量、母婴结局、临床指标、医疗资源利用、术后康复情况、团队协作满意度及患者体验。结果 观察组产后2h 及24h 出血量均低于对照组（P ＜ 0.05）。观察组新生儿5minApgar 评分高于对照组，新生儿窒息率、NICU 入住率及产妇术后感染率均低于对照组（P ＜ 0.05）。观察组在手术时间、术中输血量、ICU 入住时间、术后首次下床时间及术后排气时间方面均短于对照组（P ＜ 0.001）。此外，观察组团队协作满意度（SATIS量表）与患者满意度（CSQ-8量表）评分均显著高于对照组（P＜0.001）。结论 多学科协作模式不仅能有效控制中央性前置胎盘剖宫产产妇的出血量，还可改善母婴结局，降低并发症，优化医疗资源利用，促进术后康复，并提升团队协作与患者满意度，是一种具有广泛推广价值的综合诊疗管理模式。
关健词：中央性前置胎盘剖宫产；出血；母婴结局；多学科协助护理
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Evaluation of the Effectiveness of Multidisciplinary Assistance inCesarean Section for Patients with Central Placenta Previa
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Xiaoting Xiong
Qingyuan Maternal and Child Health Hospital, Qingyuan Guangdong 511500，China
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Abstract：Objective To study the application value of multidisciplinary collaborative nursing in cesarean section for patientswith central placenta previa.Methods A total of 60 patients with central placenta previa who underwent cesarean section in ourhospital from January 2022 to January 2025 were selected and randomly divided into an observation group and a control group,with 30 cases in each group. The control group received routine nursing care, while the observation group received a multidisciplinarycollaborative nursing model in addition to routine nursing care. Postpartum blood loss, maternal and neonatal outcomes,clinical indicators, utilization of medical resources, postoperative recovery, team collaboration satisfaction, and patient experiencewere compared between the two groups.Results The blood loss at 2h and 24h postpartum in the observation group waslower than that in the control group (P<0.05).The 5-minute Apgar score of newborns in the observation group was higher thanthat in the control group, while the rates of neonatal asphyxia, NICU admission, and maternal postoperative infection were lowerthan those in the control group(P<0.05).The observation group had shorter operation time, intraoperative blood transfusion volume,ICU stay, time to first ambulation, and time to postoperative exhaust compared to the control group (P<0.001). Additionally,the observation group scored significantly higher in team collaboration satisfaction (SATIS scale) and patient satisfaction (CSQ-8 scale) than the control group (P<0.001).Conclusion The multidisciplinary collaborative model not only effectively controls blood loss in cesarean section for patients with central placenta previa but also improves maternal and neonatal outcomes, reducescomplications, optimizes the utilization of medical resources, promotes postoperative recovery, and enhances team collaborationand patient satisfaction. It is a comprehensive diagnosis and treatment management model with broad promotion value.
Keywords : Cesarean section for central placenta previa; Hemorrhage; Maternal and neonatal outcomes; Multidisciplinary collaborative nursing
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