摘要
目的探讨基于改良早期预警评分(MEWS)的分级管理在高危妊娠孕妇剖宫产围手术期干预中的应用效果。方法选取2022年3月至2023年2月江西省妇幼保健院收治的80例行剖宫产的高危妊娠孕妇作为研究对象,根据入院时间将2022年3月至2022年9月入院的38例孕妇作为常规组,2022年10月至2023年2月入院的42例孕妇作为分级管理组。常规组实施常规围手术期护理,分级管理组在常规组基础上实施基于MEWS评分的分级管理。两组均护理至产妇出院。比较两组术后相关指标、产后出血率、不良妊娠结局、并发症及生活质量。结果分级管理组的泌乳始动时间、肛门通气时间、住院时间均短于常规组,差异有统计学意义(P<0.05);两组产后出血率比较,差异无统计学意义(P>0.05);分级管理组的不良妊娠结局、并发症发生率均低于常规组,差异有统计学意义(P<0.05);产后3个月分级管理组的生活质量评分高于常规组,差异有统计学意义(P<0.05)。结论基于MEWS评分的分级管理应用于高危妊娠孕妇剖宫产围手术期干预可缩短产妇术后恢复时间,降低不良妊娠结局及并发症的发生,提高产后生活质量。
Objective To explore the application effect of hierarchical management based on the modified early warning score(MEWS)in the perioperative intervention of cesarean section for pregnant women with high-risk pregnancies.Methods A total of 80 high-risk pregnant women who underwent cesarean section admitted to Jiangxi Maternal and Child Health Hospital from March 2022 to February 2023 were selected as study subjects.According to the time of admission,38 pregnant women admitted from March to September 2022 were assigned to the conventional group,and 42 pregnant women admitted from October 2022 to February 2023 were assigned to the hierarchical management group.The conventional group received routine perioperative care,while the hierarchical management group implemented hierarchical management based on the MEWS score on the basis of the conventional group.Both groups were cared for until the parturients were discharged from the hospital.The postoperative related indicators,postpartum hemorrhage rate,adverse pregnancy outcomes,complications and quality of life of the two groups were compared.Results The initiation time of lactation,anal ventilation time and hospital stay in the hierarchical management group were shorter than those in the conventional group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the postpartum hemorrhage rate between the two groups(P>0.05).The adverse pregnancy outcome and complication rate in the hierarchical management group were lower than those in the conventional group,and the differences were statistically significant(P<0.05).The quality of life score of the hierarchical management group was higher than that of the conventional group 3 months after delivery,and the difference was statistically significant(P<0.05).Conclusion The application of hierarchical management based on MEWS score in the perioperative intervention of cesarean section for pregnant women with high-risk pregnancies can shorten the postoperative recovery time of parturients,reduce the occurrence of adverse pregnancy outcomes and complications,and improve the postpartum quality of life.
作者
张龙燕
陈晓艳
ZHANG Longyan;CHEN Xiaoyan(The First Ward of Traditional Chinese Medicine,Jiangxi Maternal and Child Health Hospital,Jiangxi Province,Nanchang 330100,China)
出处
《中国当代医药》
2026年第3期154-158,共5页
China Modern Medicine
基金
江西省卫生健康委科技计划项目(202310982)。
关键词
改良早期预警评分
分级管理
高危妊娠孕妇
剖宫产
围手术期
Modified early warning score
Hierarchical management
Pregnant women with high-risk pregnancies
Cesarean section
Perioperative period
