中国现代医学杂志2025，Vol.35Issue(21)：16-21,6.DOI:10.3969/j.issn.1005-8982.2025.21.003
凶险性前置胎盘患者髂总球囊预置治疗后并发产后出血的影响因素及预测模型构建
The influencing factors and prediction model of postpartum hemorrhage in patients with placenta previa after preoperative placement of iliac artery balloon catheter
摘要
Abstract
Objective To analyze the influencing factors of postpartum hemorrhage in patients with placenta previa after preoperative placement of iliac artery balloon catheter,and construct and validate a nomogram prediction model.Methods The medical records of 97 placenta previa patients from the First People's Hospital of Huaian City from April 2021 to July 2024 were selected for retrospective analysis.All patients were pretreated with common iliac balloon.placenta previa patients were divided into concurrent group(n=13)and non-concurrent group(n=84)according to whether postpartum hemorrhage was complicated after pretreatment with common iliac balloon.The clinical data of the two groups were compared to analyze the influencing factors of postpartum hemorrhage after pretreatment with the common iliac balloon in placenta previa patients,and the prediction model of the nomogram was constructed and verified.Results The age≥35 years old,preoperative body mass index(BMI)≥28 kg/m2,the rate of placenta accreta or adhesion,the number of miscarriages/induced abortions,and the ratio of D-dimer/platelet ratio(DPR)in the concurrent group were higher than those in the non-concurrent group(P<0.05).Age≥35 years old[O^R=3.421(95%CI:1.504,7.783)],preoperative BMI≥28 kg/m2[O^R=4.433(95%CI:1.949,10.083)],frequent miscarriages/induced abortions[O^R=3.842(95%CI:1.689,8.740)]and high DPR level[O^R=4.874(95%CI:2.143,11.088)]were both risk factors for postpartum hemorrhage after common iliac balloon preplacement in placenta previa patients(P<0.05).The sensitivity of the nomogram model in predicting postpartum hemorrhage after common iliac balloon preimplantation treatment in placenta previa patients was 95.31%(95%CI:0.621,0.996),and the specificity was 84.52%(95%CI:0.746,0.912).Conclusion Age,pre-pregnancy BMI,number of abortions/induced labor,and DPR are associated with the risk of postpartum hemorrhage after treatment with common iliac balloon preset in placenta previa patients.The construction of a nomogram prediction model is helpful for early identification of the risk of postpartum hemorrhage after treatment with common iliac balloon preset in placenta previa patients.关键词
前置胎盘/髂总球囊预置/产后出血/影响因素/列线图预测模型Key words
placenta previa/presetting of common iliac balloon/postpartum hemorrhage/influencing factors/nomogram prediction model分类
临床医学引用本文复制引用
杨丽,郑皓宇,王海东..凶险性前置胎盘患者髂总球囊预置治疗后并发产后出血的影响因素及预测模型构建[J].中国现代医学杂志,2025,35(21):16-21,6.基金项目
江苏省卫生健康委员会重点医学科研项目(No:K2023078) （No:K2023078）
