孕产期规范化管理对妊娠合并子痫前期阴道分娩结局影响的研究  

STUDY ON EFFECT OF STANDARDIZED MANAGEMENT ON OUTCOME OF VAGINAL DELIVERY IN PREGNANCY WITH PREECLAMPSIA

作　　者：武启芸 冯小明[1] 曹淑新[1] 李娟[1] 么爽 赵爱彬 赵赳 王婧 WU Qiyun;FENG Xiaoming;CAO Shuxin;LI Juan;YAO Shuang;ZHAO Aibin;ZHAO Jiu;WANG Jing(Tangshan Maternal and Child Health Hospital of Hebei Province,Tangshan 063000,China)

机构地区：[1]河北省唐山市妇幼保健院,063000

出　　处：《中国煤炭工业医学杂志》2021年第6期584-589,共6页Chinese Journal of Coal Industry Medicine

基　　金：河北省2020年度医学科学研究课题计划(编号:20201478)。

摘　　要：目的分析孕产期规范化管理对妊娠合并子痫前期阴道分娩结局影响。方法观察组选取2020年1—12月,在唐山市妇幼保健院规范孕检的确诊子痫前期、初产妇50例,具备阴道分娩条件无阴道分娩禁忌,患者及家属知情,有阴道分娩愿望,进入规范化管理组,包括组织管理:对阴道分娩高危因素管理、分娩期组织管理,营养指导、心理干预、健康教育、麻醉管理、助产接生技术指导、血压监测及药物干预。对照组选取2015年1—12月,在唐山市妇幼保健院规范孕检的确诊子痫前期、初产妇50例,具备阴道分娩条件无阴道分娩禁忌,患者及家属知情,有阴道分娩愿望,进行常规孕期检查,分娩期采用非药物镇痛技术,传统接生技术及健康教育,对比二组初产妇镇痛、分娩的结局。结果观察组子痫发生率、产后出血率、转诊剖宫产率、产钳率比对照组发生率显著降低,血压控制效果显著,镇静镇痛效果明显提高,差异有统计学意义(P<0.05)。结论初产妇妊娠合并子痫前期患者阴道分娩,通过孕产期规范化管理,提高了子痫前期阴道分娩安全性,降低了子痫前期-子痫发生率,具有临床推广意义。Objective To analyse standardization management of pregnancy with preeclampsia influence vaginal delivery.Methods The observation group selection in January 2020 to December 2020,Tangshan Maternal and Child Health Hospital standard diagnosis of preeclampsia primipara fifty cases, vaginal delivery conditions into the standardized management group, including the organization and management: management of high risk factors of vaginal delivery Prenatal organization and management, nutrition guidance, psychological intervention, health education, anesthesia management, midwifery technical guidance, blood pressure monitoring and drug intervention control group were selected from January 2015 to December 2015 to standardize the diagnosis of preeclampsia by pregnancy examination in Tangshan Maternal and Child Health Hospital 50 primiparas underwent routine pregnancy examination, non-drug analgesia technology, traditional midwife technology and health education during delivery, and compared the outcome of analgesia delivery.Results The incidence of eclampsia in the observation group, postpartum bleeding rate, referral rate of cesarean section Significantly reduce the incidence of obstetric forceps rate than the control group, blood pressure control effect is remarkable, calm analgesic effect obviously increase, significant difference(P<0.05).Conclusion primipara pregnancy with preeclampsia patients with vaginal delivery, through standardized management, improve the safety of the preeclampsia vaginal delivery, reduce the incidence of pre-eclampsia-eclampsia, has clinical significance.

关 键 词：硬膜外镇痛 无保护接生技术 子痫前期-子痫 阴道分娩 分娩结局 

分 类 号：R71[医药卫生—妇产科学]