早期预警评分联合快速反应团队救护重度子痫前期患者的研究  

Study on the effect of early warning score combined with rapid response team on patients with severe preeclampsia

作　　者：白燕平 王晶晶[1] 段燕丽[1] Bai Yanping;Wang Jingjing;Duan Yanli(Department of Perinatal Medicine,Beijing Obstetrics and Gynecology Hospital,Capital Medical University,Beijing Maternal and Child Health Care Hosptial,Beijing 100026,China)

机构地区：[1]首都医科大学附属北京妇产医院/北京妇幼保健院围产医学部,北京100026

出　　处：《护理学杂志》2024年第6期42-45,共4页Journal of Nursing Science

基　　金：首都医科大学附属北京妇产医院护理专项课题(FCYYHL201909)。

摘　　要：目的 探讨早期预警评分联合快速反应团队对重度子痫前期患者的应用效果。方法 将2020年1-12月在急诊就诊的126例重度子痫前期患者为对照组,采用常规护理方法;2021年7月至2022年6月同类患者126作为干预组,采用早期预警评分表,客观对孕妇进行评估,早期预警评分触动快速反应系统,立即启动快速反应团队对患者进行紧急救护。比较两组患者母婴结局情况。结果 干预组孕妇就诊后收缩压和舒张压控制情况优于对照组,在急诊留观时间显著缩短(均P<0.05);干预组孕妇HELLP综合征、胎盘早剥、胎膜早破、宫缩乏力和产后出血发生率显著低于对照组(均P<0.05);干预组早产、胎儿窘迫和新生转ICU率显著低于对照组(均P<0.05)。结论 早期预警评分联合快速反应团队可有效降低重度子痫前期患者母婴不良结局,有助于保障母婴安全。Objective To explore the application effectiveness of early warning score combined with a rapid response team for patients with severe preeclampsia.Methods Patients with severe preeclampsia who visited the emergency department from January to December 2020 were selected as the control group,and routine nursing methods were implemented.Patients with severe preeclampsia who visited the emergency department from July 2021 to June 2022 were included in the intervention group.The early warning rating scale was used to objectively evaluate pregnant women.If the early warning score triggered the rapid response system,the rapid response team was immediately activated to provide emergency rescue for patients.The maternal and infant outcomes of the two groups were compared.Results The control of systolic and diastolic blood pressure in the intervention group were better than that in the control group and the length of stay in the emergency observation unit for the intervention group was significantly reduced(both P<0.05).The incidence of HELLP syndrome,placental abruption,premature rupture of membranes,uterine atony,and postpartum hemorrhage in the intervention group was significantly lower than that in the control group(all P<0.05).The rates of premature birth,fetal distress,and neonatal ICU transfer were significantly lower in the intervention group than those in the control group(all P<0.05).Conclusion Early warning score combined with the rapid response team can effectively reduce adverse maternal and neonatal outcomes in patients with severe preeclampsia,contributing to the safety of both mother and baby.

关 键 词：子痫前期 分娩 早期预警评分 快速反应团队 母婴不良结局 围生期护理 

分 类 号：R473.71[医药卫生—护理学]