预防性护理干预对临产室产妇分娩结局的影响  

Effects of preventive nursing intervention on delivery outcome of pregnant women in labor room care

作　　者：顾珺[1] 蒋兰芳[1] 

机构地区：[1]江苏省无锡市妇幼保健院临产室,江苏无锡214000

出　　处：《中国医药导报》2014年第33期116-119,共4页China Medical Herald

基　　金：上海市卫生局科研课题项目(编号2012118)

摘　　要：目的 观察临产室护理应用预防性护理干预对产妇分娩结局的影响.方法 资料选取2013年4月～2014年4月于无锡市妇幼保健院进行分娩的产妇共106例,按照随机数字表法将其分为研究组与对照组;研究组53例给予预防性护理干预,对照组53例给予常规护理;观察两组产妇各产程时间、出血量及新生儿阿普加（Apgar）评分.结果 研究组第一、二、三产程时间分别为（7.21±1.62）、（1.03±0.27）、（0.57±0.14）h,均明显短于对照组[（10.34±1.67）、（2.01±0.36）、（0.75±0.14）h],差异均有统计学意义（P＜0.05）,且研究组产妇总产程[（7.79±1.73）h]显著低于对照组[（13.34±1,67）h],差异有高度统计学意义（P＜0.01）;研究组产妇第三产程（207.18±48.36）mL、产后2h[（43.68±6.42）mL]、产后24 h出血量[（102.89±10.05）mL]均显著少于对照组[（278.49±63.07）、（65.48±9.31）、（164.19±19.35）mL],两组比较差异有高度学意义（P＜0.01）;研究组产妇的新生儿Apgar评分[（9.48±0.47）分]显著高于对照组[（4.86±1.07）分],两组比较差异有统计学意义（P＜0.05）.结论 临产室产妇应用预防性护理干预能够有效缩短产程时间,降低出血量,改善分娩结局,具有应用价值.Objective To observe the effect of preventive nursing intervention on delivery resuhs of pregnant women in labor room care. Methods 106 cases of delivery women from April 2013 to April 2014 in Wuxi Maternity and Child Care Hospital were selected, and they were divided into the research group and the control group according to the ran- dom number table. 53 cases as the research group were given the preventive nursing intervention; while the other 53 cases as the control.group were given the routine nursing intervention. Then the labor times, blood loss and Apgar scores of newborn in two groups were observed. Results The time of the first stage, the second, and the third stage of labor of the research group [（7.21±1.62）, （1.03±0.27）, （0.57±0.14） hi were shorter than those of the control group [（10.34± 1.67）, （2.01±0.36）, （0.75±0.14）h], the differences were statistically significant （P 〈 0.05）; The general labor time of the research group [（7.79±1.73） hi was obviously lower than that in the control group [（13.34±1.67） hi, the difference was statistically significant （P 〈 0.01）; the blood loss in the third stage of labor [（207.18±48.36） mL], 2 h after delivery [（43.68±6.42） mL] and 24 h after delivery [（102.89 ±10.05） mL] were clearly less than those in the contrel group [（278.49±63.07）, （65.48±9.31）, （164.19±19.35） mL], the differences were statistically significant （P 〈 0.01）; the Apgar scores of newborn in the research group [（9.48±0.47） scores] were obviously higher than that in the control group [.（4.86±1.07） scores], the difference was statistically significant （P 〈 0.05）. Conclusion Preventive nursing intervention in labor room care can shorten labor time, reduce blood loss and improve delivery outcome. Therefore, it has application value.

关 键 词：临产室 预防性护理干预 分娩结局 

分 类 号：R714.3[医药卫生—妇产科学]