护理干预用于产妇胎膜早破临床预防感染的效果评价  

Clinical effect of nursing intervention on prevention of infections in puerpera with premature rupture of membranes

作　　者：王洁[1] 曹志华[1] 叶燕燕[1] 吕红叶 郑莹莹[1] 

机构地区：[1]南阳市中心医院妇产科,河南南阳473000

出　　处：《中华医院感染学杂志》2016年第5期1124-1125,1148,共3页Chinese Journal of Nosocomiology

基　　金：河南省卫生厅科研基金资助项目(01003069)

摘　　要：目的探讨护理干预用于产妇胎膜早破预防感染的效果,分析其临床应用价值。方法以2012年1月-2014年1月医院收治的76例胎膜早破产妇作为研究对象,将其根据护理方式不同分为对照组与观察组,每组各38例;对照组给予临床常规护理,观察组给予综合护理干预,对比分析两组产妇产后出血量、宫内感染的发生、新生儿Apgar评分、新生儿窒息等资料。结果观察组妊娠延长时间、产后出血量低于对照组,宫内感染发生率为5.3%,低于对照组的23.7%(P<0.05);观察组新生儿Apgar评分、婴儿体质量高于对照组,胎儿窘迫的发生率为10.5%,新生儿窒息发生率为2.6%,低于对照组的36.8%和23.7%,差异均有统计学意义(P<0.05)。结论护理干预可有效延长产妇孕周,改善其临床症状,降低产妇感染发生率,对提高胎儿生存质量具有重要的意义,其临床应用价值高。OBJECTIVE To explore the effect of nursing intervention on prevention of infections in puerpera with premature rupture of membranes and analyze the clinical value.METHODS A total of 76 puerpera with premature rupture of membranes who were treated in the hospital from Jan 2012 to Jan 2014 were recruited as the study objects and divided into the control group and the observation group according to the nursing measures,with 38 cases in each.The control group was treated with clinical conventional nursing,while the observation group was given comprehensive nursing intervention.The postpartum hemorrhage volume,incidence of intrauterine infections,neonatal Apgar score,and neonatal asphyxia were observed and compared between the two groups of puerpera.RESULTS The pregnancy extension time of the observation group was longer than that of the control group;the postpartum hemorrhage volume of the observation group was less than that of the control group;the incidence of intrauterine infections of the observation group was 5.3%,lower than 23.7% of the control group（P〈0.05）.The neonatal Apgar score of the observation group was higher than that of the control group;the infant body weight of the observation group was more than that of the control group;the incidence of fetal distress of the observation group was 10.5%,lower than 36.8% of the control group;the incidence of neonatal asphyxia of the observation group was 2.6%,lower than 23.7% of the control group,and there was significant difference（P〈0.05）.CONCLUSIONThe nursing intervention can effectively extend the maternal gestational age,improve the clinical symptoms,and reduce the incidence of infections in the puerpera;it is of great significance in improvement of the life quality of the fetus,with the clinical value high.

关 键 词：胎膜早破 护理干预 预防感染 

分 类 号：R713[医药卫生—妇产科学]