摘要
目的 分析综合护理在前置胎盘期待疗法中的应用效果。方法 选择2010年1月-2014年12月在陕西省榆林市第二医院妇产科住院治疗的55例前置胎盘患者为研究对象,根据入院时间将2010年1月-2012年12月的30例患者作为对照组,2013年1月-2014年12月的25例患者作为观察组。对照组患者给予前置胎盘常规护理,观察组患者在常规护理的基础上给予心理护理、饮食指导、会阴护理等综合护理措施。观察两组患者期待治疗后终止妊娠时间、产后出血量、产褥感染及胎盘植入的发生情况;观察两组新生儿出生后1 min Apgar评分、体重、足月儿、呼吸窘迫综合征及死亡发生情况;比较两组患者的护理满意度。结果 积极治疗后,两组患者阴道流血情况均得到有效改善,妊娠时间得到有效延长。观察组终止妊娠时间晚于对照组[（36.9±12.5）比（35.2±10.1）周],产后出血量少于对照组[（381.6±20.2）比（485.3±23.7）m L]、产褥感染及胎盘植入发生率低于对照组（8.00%比26.67%,0.00%比6.67%）,差异有统计学意义（P〈0.05）。两组患者均适时行剖宫产终止妊娠,观察组新生儿出生后1 min Apgar评分及体重高于对照组[（9.5±1.8）比（8.1±1.3）分,（3.2±0.3）比（2.4±0.9）kg],足月儿比例高于对照组（24.0%比13.3%）,新生儿呼吸窘迫综合征及死亡发生率低于对照组（4.0%比20.0%,0.00%比6.67%）,差异有统计学意义（P〈0.05）。观察组患者护理满意度为92.0%,对照组为70.0%,两组比较差异有统计学意义（P〈0.05）。结论 前置胎盘期待治疗中实施综合护理可延长孕龄,改善妊娠结局,降低新生儿的死亡率,值得临床推广应用。
Objective To analyze application effect of comprehensive nursing in placenta previa treated with expectant treatment. Methods 55 patients with placenta previa from January 2010 to December 2014 in the Second Hospital of Yulin City in Shaanxi Province were chosen as research objects. According to admission time, 30 patients from January2010 to December 2012 were selected as control group, 25 patients from January 2013 to December 2014 were selected as observation group. Patients of control group were given routine nursing of placenta previa, while patients of observation group were given comprehensive nursing, such as psychological nursing, diet guidance, perineum nursing. Pregnancy termination time, postpartum bleeding, the occurrence of puerperal infection and placenta implantation between two groups of patients were observed. Apgar score after born of 1 min, body weight, full-term infants, the occurrence of respiratory distress syndrome and death between two groups of babies were observed. Nursing satisfaction of patients between two groups were compared. Results After active treatment, vaginal bleeding of patients in two groups were effectively improved, pregnancy time was effectively prolong. Termination time of pregnancy in observation group was later than that in control group [（36.9 ±12.5） vs（35.2 ±10.1） weeks], the amount of postpartum bleeding in observation group was less than that in control group [（381.6±20.2） vs（485.3±23.7） m L], the incidence rate of puerperal infection and placenta implantation in observation group were lower than that in control group（8.00% vs 26.67%, 0.00% vs6.67%）, the differences were statistically significant（P〈0.05）. All the patients of two groups were given timely cesarean section to end the gestation. Neonatal Apgar score after born of 1 min and body weight in observation group were higher than that in control group [（9.5±1.8） vs（8.1±1.3） points,（3.2±0.3） vs（2.4±0.9） kg], ratio of full-term newborn in observation group was h
出处
《中国医药导报》
CAS
2015年第22期165-168,共4页
China Medical Herald
关键词
综合护理
前置胎盘
期待疗法
Comprehensive nursing care
Placenta previa
Expectant treatment
