摘要
目的探讨护理干预对早发型重度子痫前期并发症的影响。方法选择2010年1月1日至2011年12月31日120例期待治疗早发型重度子痫前期患者，随机分为干预组和对照组，各60例。对照组对早发型重度子痫前期患者进行常规治疗、护理，干预组在重度子痫前期常规治疗、护理基础上进行各项护理干预措施，比较两组并发症发生情况。结果干预组发生胎盘早剥1例，低蛋白血症3例，无HELLP综合征、心力衰竭、肾衰竭及子痫病例发生，母婴结局良好，无孕产妇及新生儿死亡。对照组发生心力衰竭3例，肾衰竭4例，胎盘早剥5例，HELLP综合征4例，低蛋白血症16例，子痫2例，无孕产妇死亡，但有2例新生儿因重度窒息死亡。两组间并发症比较差异有统计学意义（P〈0．05）。结论对早发型重度子痫前期患者进行护理干预措施，能减少胎盘早剥、院内子痫、心力衰竭、肾衰竭、低蛋白血症、HELLP综合征等并发症的发生，对提高早发型重度子痫前期患者的生存质量及围生儿的生命质量具有实际的临床意义。
Objective To discuss the influence of nursing intervention on the complications of early onset severe preeclampsia. Methods 120 patients with early onset severe preeclampsia from January 2010 to December 2011 were selected and randomly divided into two groups： the control group and the observation group. The control group received conventional treatment and nursing, while the observation group received nursing intervention in addition, and two groups＇ complications were compared. Results In the observation group, there was one placental abruption case, three hypoproteinemia, no HELLP syndrome, no heart failure, no renal failure, no eclampsia, no maternal death and no neonatal death, and the maternal-infant outcome was good. In the control group, there were 5 placental abruption cases, 16 hypoproteinemia, 4 HELLP syndrome, 3 heart failure, 4 renal failure, 2 eclampsia, no maternal death but 2 neonatal death caused by severe perinatal asphyxia. The difference of the complications was statistically significant （P 〈 0.05）. Conclusions Nursing intervention for patients with early onset severe preeclampsia is clinically effective to reduce the incidence rate of complications such as placental abrnption, eclampsia in hospital, heart failure, renal failure, hypoproteinemia and HELLP syndrome, as well as to improve the life quality of both the patients and the perinatal child.
出处
《中华现代护理杂志》
2012年第24期2915-2918,共4页
Chinese Journal of Modern Nursing
关键词
子痫
早发型重度子痫前期
妊娠并发症
护理干预
Eclampsia
Early onset severe preeclampsia
Pregnancy complications
Nursing intervention
