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46例前置胎盘孕妇期待疗法中系统化护理与效果观察 被引量:16

46例前置胎盘孕妇期待疗法中系统化护理与效果观察
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摘要 目的 探讨前置胎盘孕妇期待疗法中实施系统化护理对妊娠结局的影响。方法 90例实施期待疗法的前置胎盘孕妇随机分为观察组和对照组,对照组施以常规产科护理,观察组在此基础上强化心理护理、健康教育、病情观察、感染控制、宫缩及产后护理等系统化护理干预,观察两组孕妇妊娠结局、产后并发症及新生儿状况。结果 (1)观察组孕妇顺产比例(76.1%)与剖宫产活产比例(100.0%)高于对照组比例(54.5%、80.0%);(2)观察组顺产产妇产后出血量(429.6ml)、产褥感染率(22.9%)、新生儿体重(3.28kg)及评分(9.3分)均优于对照组(485.4ml、50.0%、2.89kg、8.8分),差别具有统计学意义(P<0.05)。结论 系统化护理干预措施能明显改善期待疗法中前置胎盘孕妇的妊娠结局与新生儿状况。 Objective To have a discussion on pregnant influence of applying systematic nursing on gravidas with placenta previa during temporization treatment. Methods 100 gravidas with placenta previa during temporization treatment were randomized into observational & comparative groups, conventional obstetrical nursing was given to comparative group, based on which psycho-nursing, health education, observation on patients' condition, infection control, uterine contraction & post-delivery nursing are all introduced into patients of observational group, after which pregnant consequence and post delivery complication and neonate status were observed and compared. Results (1)Natural labour ratio (76.1%) and live birth ratio(100.0%) in csection of observational group are higher than comparative group (54.5%, 80.0%); (2)Postpartum hemorrhage (429.6ml), puerperal infection ratio(22.9%), neonate weight (3.28kg) and grade score(9.3) are overall better than comparative group (485.4ml, 50.0%, 2.89kg, 8.8 respectively). Conclusion Systematic nursing on gravidas with placenta previa during temporization can be beneficial to pregnant consequence and neonate status.
出处 《当代医学》 2012年第15期128-129,共2页 Contemporary Medicine
关键词 前置胎盘 期待疗法 系统化护理 妊娠结局 Placenta previa Temporization Systematic nursing Pregnant consequence
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