风险护理在米索前列醇联合妥塞敏治疗产后出血中的应用效果及对产妇出血量的影响  

Application effect of risk nursing in misoprostol combined with toxemin in the treatmentof postpartum hemorrhage and its influence on the amount of bleeding of parturients

作　　者：秦娜 陈群 QIN Na;CHEN Qun(the First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710089;Northwest Women's and Children's Hospital,Xi'an 710000,China)

机构地区：[1]西安交通大学第一附属医院,陕西西安710089 [2]西北妇女儿童医院,陕西西安710000

出　　处：《临床医学研究与实践》2020年第9期147-149,共3页Clinical Research and Practice

摘　　要：目的探讨风险护理在米索前列醇联合妥塞敏治疗产后出血中的应用效果及对产妇出血量的影响。方法选取本院2016年6月至2019年1月收治的110例产妇,将其随机分为风险护理组与常规护理组,各55例。常规护理组采取常规护理,主要包括观察生命体征与产程进展、指导产妇正确使用腹压并指导饮食与生活护理等;风险护理组采取风险护理,主要包括加强产前检查、做好应急措施、全程助产陪伴、心理护理等。比较两组产后出血发生率、产后2 h内出血量、产后24 h内的出血量与出血次数、产后出血原因、分娩并发症发生情况。结果风险护理组产后出血发生率为18.18%,显著低于常规护理组的36.36%,差异具有统计学意义(P<0.05)。风险护理组产后2 h内出血量、产后24 h内出血量与出血次数均显著少于常规护理组,差异具有统计学意义(P<0.05)。两组产后出血原因均以宫缩乏力为主,占50%以上,产后出血的原因分布差异无统计学意义(P>0.05)。风险护理组分娩并发症总发生率为5.45%,显著低于常规护理组的18.18%,差异具有统计学意义(P<0.05)。结论风险护理在米索前列醇联合妥塞敏治疗产后出血中的应用,可有效缓解产妇情绪紊乱、降低产后出血发生率、减少出血量与分娩并发症,值得临床推广应用。Objective To investigate the application effect of risk nursing in misoprostol combined with toxemin in the treatment of postpartum hemorrhage and its influence on the amount of bleeding of parturients.Methods A total of 110 parturients admitted in our hospital from June 2016 to January 2019 were selected and randomly divided into risk nursing group and routine nursing group,with 55 cases in each group.Routine nursing was adopted in the routine nursing group,which mainly included observation of vital signs and progress of labor,guiding the correct use of abdominal pressure by the parturients,and guiding diet and life care.Risk nursing was adopted in the risk nursing group,which mainly included strengthening prenatal checkups,making emergency measures,companionship throughout the whole process and psychological care.The incidence of postpartum hemorrhage,the amount of bleeding within 2 hours after delivery,the amount and times of bleeding within 24 hours after delivery,the cause of postpartum hemorrhage and the occurrence of complications during labor were compared between the two groups.Results The incidence of postpartum hemorrhage in the risk nursing group was 18.18%,which was significantly lower than 36.36%in the routine nursing group,the difference was statistically significant(P<0.05).The amount of bleeding within 2 hours after delivery,the amount and times of bleeding within 24 hours after delivery in the risk nursing group were significantly less than those in the routine nursing group,and the differences were statistically significant(P<0.05).The causes of postpartum hemorrhage in the two groups mainly were uterine contraction,which accounted for more than 50%.There was no significant difference in the distribution of causes of postpartum hemorrhage between the two groups(P>0.05).The total incidence of complications in the risk nursing group was 5.45%,which was significantly lower than 18.18%in the routine nursing group,the difference was statistically significant(P<0.05).Conclusion The application of ris

关 键 词：风险护理 米索前列醇 妥塞敏 产后出血 

分 类 号：R473.71[医药卫生—护理学]