目的 探究围手术期管理对凶险性前置胎盘妊娠结局的影响。方法 随机选取我院95例凶险性前置胎盘患者为研究对 象，随机将所选患者分为观察组和对照组，其中对照组患者采用常规管理，观察组患者实施围手术期管理，分析两 组患者的手术指标、并发症及妊娠结局的差异。结果 观察组患者的手术时间、术中出血量等手术指标显著优于对 照组(P<0.05)；观察组患者术后并发症发生率(22.92%)显著低于对照组(59.57%)，两组新生儿Apgar评分对比差异 显著，观察组明显优于对照组，具有统计学意义(P<0.05)。结论 围手术期管理在凶险性前置胎盘患者的临床治疗 中具有较高的应用价值，能够显著改善手术指标，提高新生儿健康水平，有助于妊娠结局的改善，值得临床推广应 用。

Objective To explore the effect of perioperative management on the outcome of dangerous placenta previa. Methods A total of 95 patients of dangerous placenta previa in our hospital were selected as the research object randomly, the selected patients were randomly divided into observation group and control group, the control group were treated by routine management, and the observation group were treated by perioperative management, analyze the difference of operation indexes, complications and the pregnancy outcomes of the two groups. Results The operation time, intraoperative blood loss of the observation group of patients were significantly better than that of control group (P<0.05), the postoperative complications of observation group (22.92%) was significantly lower than the control group (59.57%), the neonatal Apgar score of the observation group was better than control group with statistical significance (P<0.05). Conclusion Perioperative management has a high application value in the treatment of patients with dangerous placenta previa, and can significantly improve the operation index, improve the level of neonatal health, help to improve the pregnancy outcomes, and It is worthy of clinical application.