西药联合心理干预在慢性乙型肝炎孕妇治疗中的应用效果分析  

Analysis on the Effect of Medicine Combined With Psychological Intervention on Pregnant Women With Chronic Hepatitis B

作　　者：李征[1] 龙滨[1] 梁丽[1] 陈琳[1] 刘惠媛[2] 刘敏[3] 邓杏燕 王丽红 Li Zheng;Longbin;Liang Li;Chen Lin;Liu Huiyuan;Liu Min;Deng Xingyan;Wang Lihong(Department of Gynaecology And Obstetrics,Guangzhou Eighth People's Hospital,Guangzhou 510000,Guangdong Province,China)

机构地区：[1]广州市第八人民医院妇产科,广东省广州市510000 [2]广州市第八人民医院肝病科,广东省广州市510000 [3]上海市公共卫生临床中心妇产科,上海市201000 [4]上海市金山区山阳社区卫生服务中心,上海市201000

出　　处：《中国病案》2019年第12期104-107,共4页Chinese Medical Record

摘　　要：目的探讨西药联合心理干预在孕妇传染病中的应用效果分析。方法选取某医院2016年1月-2017年1月期间收治的60例慢性乙型肝炎孕妇,按照随机数字表法分为观察组30例和对照组30例,对照组实施替比夫定及常规保肝治疗,观察组在此基础上加以多样性心理护理,比较两组孕妇的心理状态、妊娠结局、哺乳和感染率等指标。结果干预后观察组SAS评分(32.31±3.99),SDS评分(30.41±5.29),均低于对照组,P<0.05,干预后SSD评分升高至(74.20±9.21),P<0.05;观察组产程时间(7.28±1.58)小时,少于对照组,P<0.05;观察组阴道分娩率达90.00%,高于对照组,P<0.05,产后出血率13.33%低于对照组,P<0.05,新生儿Apgar评分高于对照组,P<0.05,全程母乳喂养率高于对照组,P<0.05,差异均有统计学意义。两组新生儿乙肝病毒感染率差异无统计学意义,P>0.05。结论西药联合心理干预可以有助于改善慢性乙肝孕妇焦虑、抑郁情绪,满足了孕妇的心理舒适感,可改善妊娠结局,增加母乳喂养率。Objective To explore the application effect of medicine combined with psychological intervention in pregnant woman infectious diseases.Methods 60 pregnant patients with chronic hepatitis B admitted to a Hospital were divided into observation group(n = 30) and control group(n = 30) according to the random number table method. The control group was treated with tibivudine and routine hepatoprotective therapy, and the observation group was given diversified psychological nursing on the basis of it. The psychological status, pregnancy outcome, lactation and infection rate of pregnant women in the two groups were compared.Results Thescores of SAS, SDS of the observation group were lower than those of the control group(P<0.05),the score of SSD was higher than that of the control group(P<0.05);The birth process time of the observation group was higher than that of the control group(P<0.05), The rate of vaginal delivery was higher than that of the control group(P<0.05), the rate of postpartum hemorrhage was lower than that of the control group(P<0.05), the Apgar score of neonates was higher than that of the control group(P<0.05), and the rate of breast-feeding was higher than that of the control group(P<0.05). The differences were statistically significant.There was no significant difference in HBV infection rate between the two groups(P>0.05).Conclusion Western medicine combined with psychological intervention can contribute toimprove the anxiety and depression of pregnant women with chronic hepatitis B, and meet the psychological comfort of pregnant women, improve the pregnancy outcome, and increase the rate of breastfeeding.

关 键 词：西药 心理干预 孕妇 慢性乙型肝炎 

分 类 号：R714.251[医药卫生—妇产科学]