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| Effect of abdominal aorta balloon block technique on renal function, hemostasis and pregnancy outcome in patients with dangerous placenta previa undergoing cesarean section |
| CEN Bingkui1 WANG Rufa1 LI Meiyan2 YU Lei3 PAN Chunhong4 |
1.Department of Radiology, Baise People′s Hospital, Guangxi Zhuang Autonomous Region, Baise 533000, China;
2.Department of Obstetrics and Gynecology, Affiliated Hospital of Youjiang Medical College for Nationalities, Guangxi Zhuang Autonomous Region, Baise 533001, China;
3.Department of Intervention, the People′s Hospital of Guangxi Zhuang Autonomous Region, Guangxi Zhuang Autonomous Region, Nanning 530012, China; 4.Department of Obstetrics and Gynecology, Baise People′s Hospital, Guangxi Zhuang Autonomous Region, Baise 533000, China |
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Abstract Objective To investigate the effect of abdominal aorta balloon block technique on renal function, hemostasis and pregnancy outcome in patients with dangerous placenta previa undergoing cesarean section. Methods Clinical data of 80 patients with dangerous placenta previa underwent cesarean section from January 2016 to January 2019 in Baise People′s Hospital of Guangxi Zhuang Autonomous Region were analyzed retrospectively. According to whether or not performed abdominal aorta balloon block technique before caesarean section, the patients were divided into control group (42 cases, underwent caesarean section) and observation group (38 cases, underwent caesarean section after abdominal aorta balloon block technique). The clinical index, pregnant outcome and postoperative complications of the two groups were compared. The renal function indexes before operation, 24, 48 and 72 h after operation were compared between the two groups. Results The amount of bleeding and blood transfusion during operation in the observation group were less than those in the control group (P < 0.01), and the operation time and hospitalization time were shorter than those in the control group (P < 0.01). The creatinine level in the control group 48 h after operation and in the observation group 24 h and 48 h after operation were higher than those before treatment (P < 0.05), while the uric acid in the observation group was lower than that in the control group 48 h after operation (P < 0.05). The postpartum hemorrhage rate and infection rate in the observation group were lower than those in the control group, but the Apgar score of newborn was higher than that in the control group (P < 0.05). There were no significant differences in the rate of hysterectomy, neonatal malformation and postoperative complications between the two groups (P > 0.05). Conclusion Abdominal aorta balloon block technique in caesarean section patients with dangerous placenta previa can effectively improve perioperative indicators and pregnancy outcomes, and will not have any great impact on renal function of patients. It has a high clinical value.
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