大剂量硫酸镁在妇产科应用的护理分析与探讨  

Nursing Analysis and Discussion on the Application of High Dose Magnesium Sulfate in Gynecology and Obstetrics

作　　者：梁于兰 袁淑华[1] LIANG Yu-lan;YUAN Shu-hua(Department of Obstetrics and Gynecology,Suichuan County People’s Hospital,Ji’an Jiangxi 343900,China)

机构地区：[1]江西省遂川县人民医院妇产科,江西吉安343900

出　　处：《药品评价》2020年第4期65-66,共2页Drug Evaluation

摘　　要：目的:探讨大剂量硫酸镁在妇产科应用的护理分析。方法:选取2017年1月至2019年1月52例需接受大剂量硫酸镁静脉滴注治疗的孕妇作为对象,随机分为对照组和观察组,每组26例,给予对照组常规护理,观察组在对照组的基础上给予护理干预,比较两组护理结局。结果:观察组自然分娩率、阴道助产率高于对照组(P<0.05),观察组剖宫产率低于对照组(P<0.05),观察组产后出血率和产后出血量低于对照组(P<0.05),观察组早产、胎膜早破、新生儿窒息等妊娠不良结局发生情况均低于对照组(P<0.05),护理前,两组护理前睡眠质量评分及母亲角色适应能力比较无显著差异(P>0.05),护理后,两组睡眠质量评分及母亲角色适应能力均有所改善(P<0.05),观察组睡眠质量及母亲角色适应能力优于对照组(P<0.05)。结论:大剂量硫酸镁在妇产科应用的的过程中给予护理干预,有利于改善妊娠不良结局,提高睡眠质量和角色转变适应能力。Objective:To explore the nursing analysis of large dose magnesium sulfate applied in obstetrics and gynecology.Methods:From January 2017 to January 2019,52 pregnant women who needed high-dose magnesium sulfate intravenous drip therapy were randomly divided into control group and observation group,with 26 cases in each group.The control group received routine nursing care,while the observation group received nursing intervention based on the control group.Comparison of nursing outcomes between the two groups.Results:The natural delivery rate and vaginal delivery rate in the observation group were higher than those in the control group(P<0.05),the cesarean section rate in the observation group was lower than that in the control group(P<0.05),the postpartum hemorrhage rate and the amount of postpartum hemorrhage in the observation group were lower than those in the control group(P<0.05).The occurrence of adverse pregnancy outcomes such as premature delivery,premature rupture of membranes,neonatal asphyxia and the like in the observation group were lower than those in the control group(P<0.05).There was no significant difference in sleep quality score and mother role adaptability between the two groups before nursing(P>0.05).after nursing,sleep quality score and mother role adaptability of the two groups were improved(P<0.05).Sleep quality and mother role adaptability of the observation group were better than those of the control group(P<0.05).Conclusion:Nursing intervention with large dose magnesium sulfate in the application of obstetrics and gynecology is beneficial to improve the adverse pregnancy outcomes,improve sleep quality and role change adaptability.

关 键 词：大剂量硫酸镁 妇产科 护理应用 

分 类 号：R473.71[医药卫生—护理学]