产科干预对子痫前期产妇临床指标的影响  

Clinical influence of obstetric intervention on preeclampsia

作　　者：韩佩佩 余幼芬 贺琰 林红娣 HAN Peipei;YU Youfen;HE Yan;LIN Hongdi(Department of Obstetrics,Zhoushan Women and Children Hospital,Zhoushan 316000,Zhejiang,China)

机构地区：[1]舟山市妇女儿童医院产科,浙江舟山316000

出　　处：《中国性科学》2020年第9期29-32,共4页Chinese Journal of Human Sexuality

摘　　要：目的探讨产科护理干预对子痫前期产妇临床指标的影响。方法选取2017年9月至2018年4月舟山市妇女儿童医院诊治的100例子痫前期产妇作为研究对象。随机分为对照组(n=50)及观察组(n=50)。对照组产妇予以常规护理,观察组产妇在常规护理的基础上加用预见性护理干预,比较并分析两组产妇妊娠结局、新生儿围生结局及护理满意度差异。结果与对照组产妇相比,观察组产妇子痫、胎盘早剥及产后出血发生率明显降低,差异具有统计学意义(P<0.05);与对照组产妇相比,观察组产妇新生儿窒息及宫内窘迫发生率明显降低,差异具有统计学意义(P<0.05);两组产妇新生儿体重差异无统计学意义(P>0.05);与对照组产妇相比,观察组产妇护理满意度明显增加,差异具有统计学意义(P<0.05);与对照组产妇相比,观察组产妇并发症发生率和产后视觉模拟评分法(VAS)评分明显降低,同时护理干预后汉密尔顿焦虑量表(HAMA)评分及汉密尔顿抑郁量表(HAMD)评分降低更为显著,差异具有统计学意义(P<0.05)。结论与传统常规护理相比,辅以预见性护理干预能减少妊娠不良预后事件的发生,减少围产儿不良结局,有效缓解产妇焦虑抑郁状态和产后疼痛状态,降低产后并发症的发生,有利于产科子痫前期母婴预后。Objective To investigate the clinical impact of obstetric nursing intervention on pre-eclampsia.Methods 100 pre-eclampsia women admitted to Zhoushan Women and Children Hospital from September 2017 to April 2018 were divide into control group(50 cases)and observation group(50 cases)by random.The control group received routine nursing care while the observation group received predictive nursing intervention on the basis of routine nursing.The differences in pregnancy outcome,neonatal perinatal outcome and nursing satisfaction between the two groups were compared and analyzed.Results Compared with the control group,the incidences of eclampsia,placental abruption and postpartum hemorrhage were significantly lower in the observation group,with statistically significant differences(P<0.05).Compared with the control group,the incidences of neonatal asphyxia and intrauterine distress were significantly lower in the observation group,with statistically significant differences(P<0.05).There was no statistically significant difference in neonatal body weight between the two groups(P>0.05).Compared with the control group,the nursing satisfaction of the observation group increased significantly,with statistically significant differences(P<0.05).Compared with the control group,the incidence of maternal complications and postpartum VAS pain scores in the observation group were significantly lower,and the HAMA scores and HAMD scores were significantly lower after the nursing intervention,all with statistically significant differences(P<0.05).Conclusions Compared with traditional routine nursing,predictive nursing intervention can reduce the incidence of adverse prognosis of pregnancy,perinatal mortality and the incidence of postpartum complications,and effectively alleviate maternal anxiety and depression and postpartum pain,which benefits the maternal and child prognosis of puerperal with pre-eclampsia.

关 键 词：产科 护理干预 子痫前期 

分 类 号：R714[医药卫生—妇产科学]