长途转运晚期先兆流产保胎策略的研究分析  

Research and analysis of long-distance transfer of late threatened abortion and fetus protection strategy

作　　者：戚晓敏 曾金石 万鑫 QI Xiaomin;ZENG Jinshi;WAN Xin(Ganzhou Medical Emergency Center,Ganzhou 341000,China;People's Hospital of Ganxian District in Ganzhou City,Ganzhou 341112,China)

机构地区：[1]赣州市医疗急救中心,江西赣州341000 [2]赣州市赣县区人民医院,江西赣州341112

出　　处：《临床医药实践》2023年第1期16-19,共4页Proceeding of Clinical Medicine

基　　金：赣州市指导性科技计划项目(项目编号:GZ2020ZSF387)。

摘　　要：目的:探讨长途转运晚期先兆流产保胎策略的应用效果。方法:将2019年3月—2021年3月赣州市医疗急救中心长途转运的晚期先兆流产孕妇52例作为观察组,将2017年2月—2019年2月赣州市医疗急救中心长途转运的晚期先兆流产孕妇52例作为对照组。对照组实施常规转运流程,观察组在常规转运流程的基础上实施保胎策略。比较两组孕妇的保胎成功率、宫缩消失时间、孕期延长时间及心理状态。结果:观察组保胎成功率高于对照组,宫缩消失时间短于对照组,孕期延长时间长于对照组,差异均具有统计学意义(P<0.05)。两组孕妇下车后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于同组上车前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:长途转运晚期先兆流产保胎策略应用效果显著,能有效提高孕妇保胎成功率,促进宫缩消失,延长孕周,缓解其焦虑和抑郁情绪。Objective: To explore the effect of long-distance transfer of late threatened abortion and fetus protection strategy.Methods: Fifty-two pregnant women with late threatened abortion who were transferred from March 2019 to March 2021 by Ganzhou Medical Emergency Center were selected as the observation group.Fifty-two pregnant women with miscarriage served form February 2017 to February 2019 as the control group.The control group implemented the routine transfer process, and the observation group implemented the fetal protection strategy on the basis of the routine transfer process.The pregnancy success rate, the disappearance time of uterine contractions, the prolonged pregnancy period and the psychological state of the two groups of pregnant women were compared.Results: The success rate of pregnancy preservation in the observation group was higher than that in the control group, the disappearance time of uterine contractions was shorter than that in the control group, and the prolonged pregnancy period was longer than that in the control group, and the differences were statistically significant(P<0.05).The scores of the Self-rating Anxiety Scale(SAS) and Self-rating Depression Scale(SDS) of the two groups of pregnant women after getting off the bus were lower than those before getting on the bus in the same group, and the difference was statistically significant(P<0.05).SDS scores were lower than the control group, the difference was statistically significant(P<0.05).Conclusion: The long-distance transfer of late threatened abortion has a significant effect, which can effectively improve the success rate of pregnant women, promote the disappearance of uterine contractions, prolong the gestational age, relieve their anxiety and depression.

关 键 词：长途转运 晚期 先兆流产 保胎策略 

分 类 号：R714.27[医药卫生—妇产科学]