靶向护理对行ANH与ABT联合治疗凶险前置胎盘剖宫产患者康复指标的影响  

The Effect of Targeted Nursing on the Rehabilitation Index of Patients with Cesarean Section of Dangerous Placenta Previa Treated by Combination of ANH and ABT

作　　者：张佳佳[1] 陈丽佳 王寒 ZHANG Jiajia;CHEN Lijia;WANG Han(Jiamusi Maternal and Child Health Hospital,Jiamusi 154002,China)

机构地区：[1]黑龙江省佳木斯市妇幼保健院,黑龙江佳木斯154002

出　　处：《中国医学创新》2020年第17期111-114,共4页Medical Innovation of China

摘　　要：目的:探讨靶向护理对行急性等容血液稀释(ANH)与自体血回输(ABT)联合治疗凶险前置胎盘剖宫产患者康复指标的影响。方法:选择2018年1月-2019年12月本院收治的凶险前置胎盘患者70例为研究对象。使用数字双盲法将其分为对照组与研究组,每组35例。对照组予以ANH联合ABT干预及常规护理,研究组行ANH联合ABT干预辅以靶向护理。比较两组分娩前后血液指标情况、分娩后康复情况及并发症发生情况。结果:分娩前后,两组RBC、Hb、HCT、PLT比较,差异均无统计学意义(P>0.05)。分娩后,研究组肠道排气时间、切口拆线时间、住院时间、hCG恢复时间均短于对照组,差异均有统计学意义(P<0.05)。研究组并发症发生率为2.9%,显著低于对照组的25.7%,差异有统计学意义(P<0.05)。结论:凶险前置胎盘剖宫产患者接受ANH联合ABT干预并辅以靶向护理,可促进术后康复,减少并发症的发生,在临床上应加大应用推广力度。Objective:To explore the effect of targeted nursing on the rehabilitation index of patients with dangerous placenta previa cesarean section treated by combination of ANH and ABT.Method:A total of 70 patients with dangerous placenta previa admitted to our hospital from January 2018 to December 2019 were selected as the study subjects.They were divided into control group and study group by digital double blind method,with 35 cases in each group.The control group was given ANH combined with ABT intervention and routine nursing,and the research group was given ANH combined with ABT intervention supplemented with targeted nursing.Blood indexes before and after delivery,recovery after delivery and complications were compared between the two groups.Result:Before and after delivery,RBC,Hb,HCT and PLT were compared between the two groups,the differences were not statistically significant(P>0.05).After delivery,intestinal exhaust time,incision removal time,hospitalization time and hCG recovery time in the study group were all shorter than those in the control group,the differences were statistically significant(P<0.05).The incidence of complications in the study group was 2.9%,which was significantly lower than 25.7%in the control group,the difference was statistically significant(P<0.05).Conclusion:Patients with dangerous placenta previa cesarean section who receive ANH combined with ABT intervention and targeted nursing can promote postoperative rehabilitation and reduce the occurrence of complications.Therefore,the application and promotion should be strengthened in clinical practice.

关 键 词：靶向护理 凶险前置胎盘 剖宫产 ANH ABT 

分 类 号：R473.71[医药卫生—护理学]