ICU急危重症孕产妇的病情变化特点及临床救治效果观察  

Observation on the Changing Characteristics and Clinical Treatment Effect of Critical Pregnant Women in ICU

作　　者：洪青青 王巧玲 李巧娟 Hong Qingqing;Wang Qiaoling;Li Qiaojuan(Obstetrics and Gynecology Department of Xiamen Fifth Hospital,Xiamen 361000,china)

机构地区：[1]福建省厦门市第五医院产科,福建厦门361000

出　　处：《中华灾害救援医学》2024年第2期160-163,共4页Chinese Journal of Disaster Medicine

摘　　要：目的观察分析ICU急危重症孕产妇的病情变化特点及临床救治效果。方法选取2022年12月至2023年12月福建省厦门市第五医院产科收治的80例急危重症孕产妇,所有患者均予以产科联合ICU共同救治,根据临床救治方法不同,以随机数表法均配患者为观察组与对照组,每组各40例。对所有急危重症孕产妇患者病症特点分析总结,并比较两组临床救治效果、急救指标、孕产妇分娩结局、新生儿出生结局及救治结果。结果ICU急危重症孕产妇病情比较复杂,对现有80例急危重症孕产妇病症分析总结,产科出血发生率最高(47.50%),其次为妊娠期高血压(20.00%);观察组孕产妇临床救治总有效率高于对照组(P<0.05);观察组孕产妇急救抢救时间、症状消失时间及生命体征恢复时间均短于对照组(P<0.05);两组孕产妇分娩结局、新生儿出生结局比较差异无统计学意义(P值均>0.05),但救治结果高于对照组,差异有统计学意义(P<0.05)。结论ICU急危重症孕产妇具有起病急、进展快及病情凶险等特点,及时予以准确判断,并监测病情变化,通过采取有效的急诊救治可预防病情进一步进展,提高急危重症孕产妇救治效果,确保母婴结局良好。Objective To observe and analyze the characteristics of disease progression and clinical treatment effect of acute and critically ill pregnant and postpartum women in ICU.Methods The 80 cases of critically ill pregnant and postpartum women included were from the department of Obstetrics and Gynecology of our hospital from December 2022 to December 2023.All patients were treated in the obstetrics and gynecology joint ICU.According to different clinical treatment methods,patients were assigned to the observation group and the control group by random number table method,with 40 cases in each group.The characteristics of all critically ill pregnant and postpartum women were analyzed and summarized,and the clinical treatment effect,first aid index,maternal delivery outcome,newborn birth outcome,and treatment result of the two groups were compared.Results The conditions of ICU critical pregnant and postpartum women were complicated.The analysis and summary of the existing 80 cases showed that the incidence of obstetric hemorrhage was the highest,accounting for 47.50%,followed by pregnancy-induced hypertension,accounting for 20.00%.The total effective rate of clinical treatment in the observation group was higher than that in the control group,while the difference was significant(P<0.05);The first aid rescue time,symptom disappearance time and vital signs recovery time of the observation group were faster than those of the control group,and the differences were significant(P<0.05).The comparison of the outcome of childbirth and newborn birth between the two groups showed no statistical meaning with P>0.05,but the treatment result was better than that of the control group,while the difference was significant(P<0.05).Conclusion The critical pregnant and postpartum women in ICU have the characteristics of rapid onset,rapid progress,and dangerous condition.Timely and accurate judgment and monitoring of condition changes can prevent further progress of ward situation by adopting effective emergency treatment,improve the trea

关 键 词：产科护理 危重病人医疗 妊娠并发症 

分 类 号：R714[医药卫生—妇产科学]