预见性护理在肩难产中的应用  

Application of predictive nursing for parturient with shoulder dystocia

作　　者：谭亚杰[1] 黄丽梅[1] 陆小娟[1] 

机构地区：[1]广东省深圳市龙岗区人民医院

出　　处：《全科护理》2010年第33期3013-3014,共2页Chinese General Practice Nursing

摘　　要：[目的]探讨预见性护理方法在肩难产中的临床应用价值。[方法]选取2006年1月—2009年12月收治的可能发生肩难产的产妇106例,随机分为观察组(预见性护理组)和对照组(常规护理组)各53例,比较两组的护理结果。[结果]观察组53例孕妇发生肩难产6例,发生率为11.3%,产后均无并发症发生;对照组53例孕妇发生肩难产27例,发生率为50.9%,产后发生新生儿臂丛神经损伤3例,吸入性肺炎2例,并发症发生率为9.4%。两组肩难产发生率及并发症发生率比较差异均有统计学意义(P<0.01)。[结论]实施预见性护理可以显著降低肩难产的发生率及产后并发症的发生率。Objective：To probe into the clinical application value of predictive nursing method for parturient with shoulder dystocia.Methods：A total of 106 parturient admitted in our hospital from January 2006 to December 2009 who possibly with shoulder dystocia were randomly divided into test groups （predictive nursing group） and control group （conventional nursing group） 53 cases each.Nursing results of the two groups parturient were compared with each other.Results：In test group,among 53 parturient,6 cases were with shoulder dystocia,the incidence rate was 11.3%.And no postpartum complications had occurred.Another 53 parturient in control group,27 cases were with shoulder dystocia.The incidence rate was 50.9%.And 3 cases developed neonatal brachial plexus injury,2 cases were with aspiration pneumonia.The incidence of complications was 9.4%.There were statistical significant differences in terms of incidence of shoulder dystocia and incidence of complications between the two groups （P〈0.01）.Conclusion：To carry out predictive nursing for parturient can remarkably decrease the incidence of shoulder dystocia and the incidence of postpartum complications.

关 键 词：预见性护理 肩难产 臂丛神经损伤 

分 类 号：R473.71[医药卫生—护理学]