摘要
目的探讨一日门诊延续护理对妊娠高血压妇女的临床效果价值。方法根据纳入与排除标准,在孕妇知情同意的基础上,选取2014年10月~2015年10月收治的妊娠期高血压病患者80例,按完全随机分为研究组和对照组,每组各40例,研究组患者行一日门诊延续护理,对照组患者行一日门诊常规护理,比较两组患者孕期血压、眩晕程度、监测情况、分娩方式、平均住院天数、并发症发生率等指标。结果研究组患者眩晕程度评分显著低于对照组(P<0.05);研究组患者收缩压、舒张压控制水平和CL-90各项评分均优于对照组(P<0.05);研究组孕妇阴道分娩数多于对照组,孕妇剖宫产仅11例,少于对照组25例(P<0.05);研究组孕妇早产和出血分别为2例和2例,显著少于对照组的6例和8例(P<0.05);研究组孕妇胎盘早剥和胎儿窘迫分别为4例和5例低于对照组的11例和10例(P<0.05);研究组新生儿窒息9例显著低于对照组的21例(P<0.05)。结论一日门诊延续护理模式可以帮助孕妇有效控制血压,减少不良妊娠结局事件发生率,具有临床应用价值。
Objective To investigate the evaluation of clinical effect of extended care in one day outpatient care for pregnant women with high blood pressure. Methods According to the inclusion and exclusion criteria, on the basis of informed consent in pregnant women collected in our hospital in October 2014 - 2015 October, 80 pregnancy induced hypertension patients were randomly divided into study group （40 cases） and control group（40 cases）. The patients in study group received one day outpatient care. The control group received routine nursing care in one day. Results The degree of vertigo patients in study group was significantly lower than that of the control group （P〈0.05）. The systolic blood pressure and diastolic blood pressure control level of study group were better than that of the control group （P〈0.05）. SCL-90 scores in the study group were better than that of the control group （P〈0.05）. The vaginal delivery of study group was more than that of the control group （P〈0.05）. The incidence of cesarean section in study group were less than that of the control group （P〈0.05）. The postpartum hemorrhage of the study group was significantly lower than that of the control group （P〈0.05）. The placental abruption in the study group was less than that of the control group （P〈0.05）. The fetal distress of study group were significantly lower than that of the control group （P〈0.05）. The neonatal asphyxia of study group was significantly lower than that of the control group （P〈0. 05）. Conclusion One day outpatient care model can help pregnant women effectively control blood pressure and reduce the incidence of adverse pregnancy outcome events.
出处
《西部医学》
2017年第1期127-130,共4页
Medical Journal of West China
基金
四川省科技攻关项目(No05SG022012)
