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Maternal and Fetal Prognosis of Evacuated Parturients in N’Djamena Mother and Child Hospital (Chad)
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作者 Lhagadang Foumsou Bray Madoué Gabkika +2 位作者 Foba Kheba Sadjoli Damthéou Salathiel Djongali 《Open Journal of Obstetrics and Gynecology》 2021年第3期263-271,共9页
<strong>Introduction</strong><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"><strong>:</str... <strong>Introduction</strong><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"><strong>:</strong> All pregnant women are at risk of obstetric complications </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">leading to high fetal-maternal mortality and morbidity. The aim of this work was to evaluate the maternal and fetal prognosis of evacuated parturients.</span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><b><span style="font-family:Verdana;">Patient and Method</span></b></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">: we conducted a prospective analytical survey for four months, from April 1</span><sup><span style="font-family:Verdana;">st</span></sup><span style="font-family:Verdana;"> to July 31</span><sup><span style="font-family:Verdana;">st</span></sup><span style="font-family:Verdana;">, 2018 in the Maternity of N’Djamena Mother and Child Hospital about the maternal and fetal prognosis of evacuated parturients. Any parturient evacuated or referred for obstetric complications was included. Study parameters were epidemiological, clinical, para-clinical, therapeutic and prognosis order. These parameters were analyzed in the SPSS 18 French version software.</span></span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><b><span style="font-family:Verdana;">Results</span></b></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">: Evacuated parturients represented 20% of maternity admissions. The average age was 23.9 years, with extremes ranging from 15 and 43 years. They were uneducated in 72.9%, primiparous in 46.8% of cases. The three delays were dominated by the 1</span><sup><span style="font-family:Verdana;">st</span></sup><span style="font-family:Verdana;"> delay, which represented 34.1% of cases. In this series, 26.3% parturients had presented obstetric com</span><span style="font-family:Verdana;">plications. Preruptive syndrome was the most common complication with</span><span style="font-family:Verdana;"> 29.3% cases. Predisposing factors to maternal-fetal complications were low attendance antenatal care, late evacuation and distance travelled. The mater</span><span style="font-family:Verdana;">nal mortality rate was 3%. Fetal complications were observed in 28.3% of cas</span><span style="font-family:Verdana;">es and the neonatal mortality rate was 24.6%.</span></span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><b><span style="font-family:Verdana;">Conclusion</span></b></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">: The maternal </span><span style="font-family:Verdana;">and fetal complications of evacuated parturients are a real public health</span><span style="font-family:Verdana;"> problem in our regions. The suppression of delays, capacity reinforcement of peripheral maternity and the periodic recycling peripheral centers to recognize </span><span style="font-family:Verdana;">obstetric emergencies will contribute to improve the maternal and fetal</span><span style="font-family:Verdana;"> prognosis of evacuated parturients.</span></span></span></span> 展开更多
关键词 Maternal and Fetal Prognosis Evacuated parturients Obstetric Complications Mother and Child Hospital N’Djamena CHAD
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Screening in the Birth Room of Parturients with Unknown Human Immunodeficiency Virus (HIV) Serological Status at the Reference Health Center of Commune IV of the District of Bamako
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作者 Amaguiré Saye Seydou Mariko +6 位作者 Nanko Doumbia Dessé Diarra Sirima Diarra Mariam Tangara Brahima Dembélé Niani Mounkoro Sounkalo Dao 《Open Journal of Obstetrics and Gynecology》 2022年第3期181-192,共12页
Introduction: In order to prevent the vertical transmission of the Human Immunodeficiency Virus (HIV), it is essential that pregnant women must know their HIV serological status. Objective: To determine the proportion... Introduction: In order to prevent the vertical transmission of the Human Immunodeficiency Virus (HIV), it is essential that pregnant women must know their HIV serological status. Objective: To determine the proportion of parturients with unknown Human Immunodeficiency Virus (HIV) status in the delivery room and to identify the associated factors. Methods: We conducted a prospective descriptive study carried out at the Reference Health Center of Commune IV in the district of Bamako from July 1, 2017 to July 1, 2018. The sample size was 267 parturients. The word processing was carried out on World software from the 2016 office suite at the end of the data entry and analysis was carried out on the IBM software, SPSS version 22.0. Results: A total of 267 women were eligible for our study, among which 14 parturients were seropositive, i.e., a proportion of 5.2% of cases. The knowledge of parturients on HIV was 95.5% of cases, but more than half did not know the mode of mother-child transmission. Unschooled parturients were the most represented with 41.2%. Conclusion: In view of the large proportion (5.2%) of HIV-positive parturients in our study, voluntary screening activities in the delivery room remain necessary for the future of children born to HIV-positive mothers. 展开更多
关键词 HIV Screening parturients Delivery Room
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Fashion Involvement of the First-Time Mother: Online Purchasing or Face-to-Face Purchasing
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作者 Iris Gertner Moryossef Noam Shtokman 《Journal of Health Science》 2018年第4期264-273,共10页
The first-time mother often uses the consumption process to overcome the disparity between her old and her new role and being viewed as the ideal mother in the public consciousness. Research shows that buying the righ... The first-time mother often uses the consumption process to overcome the disparity between her old and her new role and being viewed as the ideal mother in the public consciousness. Research shows that buying the right clothes and the right fashion is symbolic consumption often related to demographic variables like age or income, and to other relevant factors including personality traits and price perception. Becoming a mother for the first time is one of, if not "the", most significant transition in the women's life expressed in physical, emotional, psychological, and mental changes the pregnant and post-pregnant mother experiences. Therefore, offering a new approach to the marketers will help associate them to better identify and fulfill the women's new needs. This article attempts to illustrate ways to penetrate the new mother's world and behavior. Based on popular research it appears that new mothers often use fashion clothes for their first baby to activate self-esteem, as well as for prestige sensitivity [1]. Over the last decade online consumption has increased significantly both globally as well as in Israel. More new mothers axe using the internet to compare and order goods This increasing and changing trend leads the authors to examine similarity or differences in the fashion involvement of the new mother. Using a focus group embracing eight first-time mothers, with their first newborn aged up to 15 months, the authors suggest that even though the online consumption in Israel is increasing rapidly, new mothers axe still likely to buy using traditional stores. These findings indicate that the new mother is not using the internet as a purchasing channel, but is likely to collate information through the web while preferring to do her shopping face to face. The data consider that lack of time and high involvement in baby's clothes are the main reasons for not using online consumption. The research also advises the marketers to use the web only as a source of information and recommendation for the new mother, based on the fact that she needs a role model for her behavior in her new position. 展开更多
关键词 Fashion involvement online consumption first-time mother.
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Low prevalence of toxoplasma infection among first-time donors in the midsouthern area of Taiwan
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《中国输血杂志》 CAS CSCD 2001年第S1期333-,共1页
关键词 time area Low prevalence of toxoplasma infection among first-time donors in the midsouthern area of Taiwan
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IPA Analysis of First-time Tourists' Perceptions on the Image of the Tourist Destination Take Hainan International Tourism Islands for Example
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作者 Yumei Guan 《International English Education Research》 2014年第10期43-46,共4页
Nowadays, the image construction of Hainan International Tourism Islands has been vigorously promoted. The research is going to make an empirical analysis of Hainan tourism image, adopting IPA analysis method. General... Nowadays, the image construction of Hainan International Tourism Islands has been vigorously promoted. The research is going to make an empirical analysis of Hainan tourism image, adopting IPA analysis method. Generally speaking, there is a big gap between the Hainan tourist destination and tourists' expectations. The Hainan Tourist Destination image is mainly built on natural-advantage-resource projects such as natural sceneries, air quality, and climate, etc., meanwhile, the relatively insufficient constructions of soft-wares such as tourism-related facilities, as well as the quality of tourism services, etc., are the focus of future efforts. 展开更多
关键词 Tourist destinations image IPA first-time tourists Hainan International Tourism Islands
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Analysis of the Effect of Anesthesiology Nurse’s Pain Management on the Analgesic Effect of Parturient Women
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作者 CHEN Lili XU Weifang 《外文科技期刊数据库(文摘版)医药卫生》 2021年第3期494-498,共5页
Objective: to observe the effect of anesthesia nurse pain management on labor analgesia by applying anesthesia nurse pain management method in the process of childbirth. Methods: 106 cases of parturient women in our h... Objective: to observe the effect of anesthesia nurse pain management on labor analgesia by applying anesthesia nurse pain management method in the process of childbirth. Methods: 106 cases of parturient women in our hospital were taken as the observation object. The observation time was in March 2020. According to the different methods of labor analgesia management, the patients were divided into two groups. Results: the incidence of grade 1 and 2 pain was 93.10% in the study group and 79.31% in the control group (χ2 = 15.684, P = 0.000). The difference was statistically significant. Conclusion: pain management by anesthesiologist during childbirth is effective, and it is worth recommending. 展开更多
关键词 parturient CHILDBIRTH anesthesiology nurse pain management
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Observation on the Effect of Early Nursing Intervention on Postpartum Urinary Retention of Parturients in Vaginal Delivery
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作者 CHEN Jie CHEN Ping JIANG Tingting 《外文科技期刊数据库(文摘版)医药卫生》 2021年第7期245-246,共3页
Objective: to explore the effect of early nursing intervention on postpartum urinary retention of parturients in vaginal delivery. Methods: 100 parturients who were admitted to our hospital from March 2017 to February... Objective: to explore the effect of early nursing intervention on postpartum urinary retention of parturients in vaginal delivery. Methods: 100 parturients who were admitted to our hospital from March 2017 to February 2018 were selected as the main research objects and divided into two groups, namely the control group and the experimental group. Among them, the control group mainly chooses the conventional nursing mode for intervention, while the observation group needs to adopt the early nursing of this study. Results: the delivery effect of the observation group was significantly higher than that of the control group, and the experience of the observation group was also better. There was significant difference in the data analysis. Conclusion: early nursing should be carried out for clinical primiparas with suitable conditions in order to ensure their health level and the quality of fetus delivery, which can improve the delivery effect of parturients. 展开更多
关键词 vaginal delivery parturient postpartum urinary retention early nursing effect observation
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Effect of Resistance Training,Aerobic Exercise Before Doula-Assisted Delivery on the Psychological Well-Being and Labor Duration of Parturients
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作者 Jing Zhou Sha Tang +2 位作者 Li Zhou Cong Jiang Wenjian Fan 《Journal of Clinical and Nursing Research》 2023年第6期118-123,共6页
Objective:To investigate the impact of resistance training and aerobic exercise before doula-assisted delivery on the psychological well-being and labor duration of parturients.Methods:105 cases of parturients who gav... Objective:To investigate the impact of resistance training and aerobic exercise before doula-assisted delivery on the psychological well-being and labor duration of parturients.Methods:105 cases of parturients who gave birth in our hospital from February 2021 to April 2023 were included in this study.The patients were divided into a control group of 52 cases and an observation group of 53 cases.The patients in the control group received no particular intervention before delivery and only received doula assistance.The patients in the observation group received resistance training,aerobic exercise,and doula assistance prior to giving birth.After delivery,the mothers were observed for 2 hours in the delivery room and then returned to the maternal and infant ward.The observation indicators of the two groups were compared.Results:In comparison to the control group,the observation group exhibited shorter durations in the first,second,and third stages of labor,as well as the total delivery time.Additionally,the amount of postpartum blood loss at 2 hours was smaller in the observation group.The rate of cesarean section was lower,and the rate of vaginal natural delivery was higher in the observation group.Following the intervention,both groups of postpartum women showed decreased SAS and SDS scores compared to before the intervention.Moreover,the observation group had lower scores than the control group.These differences were all statistically significant(P<0.05).Conclusion:Resistance training and aerobic exercise before doula-assisted delivery can effectively improve the psychological state of parturients,shorten labor duration,increase the rate of natural vaginal delivery,and reduce pain and postpartum hemorrhage. 展开更多
关键词 Doula assistance Resistance training Aerobic exercise parturient Psychological state Labor duration
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Influence Evaluation of Postpartum Rehabilitation Nursing on Postpartum Sexual Function and Sexual Life Quality of Parturients
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作者 ZHU Juanle 《外文科技期刊数据库(文摘版)医药卫生》 2021年第2期188-192,共5页
Objective: to explore the effect of postpartum rehabilitation nursing on postpartum sexual function and sexual life quality. Methods: 114 cases of parturients in the department of obstetrics and gynaecology in our hos... Objective: to explore the effect of postpartum rehabilitation nursing on postpartum sexual function and sexual life quality. Methods: 114 cases of parturients in the department of obstetrics and gynaecology in our hospital from March 2019 to March 2020 were randomly selected as the research subjects, and were randomly divided into the improved group and the preset group according to the initial number of their names. The improved group received postpartum rehabilitation nursing, and the preset group received general nursing. The postpartum sexual function and sexual life quality of the two groups were compared. Results: The pelvic floor muscle recovery of improved group was better than that of preset group (P < 0.05). The incidence of maternal sexual dysfunction in the improved group was lower than that in the preset group (P < 0.05). The satisfaction degree of the improved group was higher than that of the preset group (P < 0.05). Conclusion: postpartum rehabilitation nursing has positive significance for postpartum sexual function recovery of parturients, which can guarantee the quality of sexual life and advocate its application. 展开更多
关键词 postpartum rehabilitation nursing parturients sexual function quality of sexual life
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微量矿物元素在围产期奶牛中的应用研究进展
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作者 黄颖妍 李健 +4 位作者 吕娜 王丹 王凯 曾伟 庞权 《饲料工业》 北大核心 2026年第2期65-70,共6页
微量矿物元素主要包括金属元素锌、铜、锰、铬等和非金属元素硒、碘等,在机体生长发育、氧化代谢等方面发挥着重要作用。围产期在奶牛的妊娠-哺乳周期中非常重要,在此阶段由于分娩和泌乳对能量需求急剧升高,而干物质摄入量相对不足,奶... 微量矿物元素主要包括金属元素锌、铜、锰、铬等和非金属元素硒、碘等,在机体生长发育、氧化代谢等方面发挥着重要作用。围产期在奶牛的妊娠-哺乳周期中非常重要,在此阶段由于分娩和泌乳对能量需求急剧升高,而干物质摄入量相对不足,奶牛对必需营养素的需求量达到峰值。微量营养素在调控奶牛机体免疫功能、缓解围产期应激中发挥了关键作用,保证足够的微量营养素供给,对优化免疫反应、保障围产期生理稳态至关重要。文章主要综述了微量矿物元素在奶牛围产期的应用,以期为科学配制奶牛日粮提供参考。 展开更多
关键词 微量矿物元素 围产期 奶牛 免疫 抗氧化
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硬膜外分娩镇痛对产妇分娩进程及产时发热的影响分析
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作者 谢婷婷 徐欣 王丹 《中国现代药物应用》 2026年第4期111-114,共4页
目的 探讨硬膜外分娩镇痛在产妇分娩中的应用效果。方法 选取分娩产妇180例,按照随机数表的方式将产妇分为对照组和研究组,每组90例。两组均给予常规分娩,过程中对照组产妇不予分娩镇痛,研究组产妇予硬膜外分娩镇痛。比较两组产妇分娩方... 目的 探讨硬膜外分娩镇痛在产妇分娩中的应用效果。方法 选取分娩产妇180例,按照随机数表的方式将产妇分为对照组和研究组,每组90例。两组均给予常规分娩,过程中对照组产妇不予分娩镇痛,研究组产妇予硬膜外分娩镇痛。比较两组产妇分娩方式,产程,产时发热相关指标(产时发热率、发热持续时间、最高体温、白细胞计数、中性粒细胞比例),疼痛评分,产后出血量和新生儿Apgar评分。结果 和对照组的66.67%、14.44%相比,研究组自然分娩率81.11%更高,剖宫产率5.56%更低(P<0.05)。和对照组自然分娩产妇的(9.01±2.13)h、(81.02±10.03)min相比,研究组自然分娩产妇的第一产程(6.41±1.01)h、第二产程(50.71±7.25)min更短(P<0.05)。和对照组的(4.51±0.89)分、(173.41±9.20)ml、(9.74±0.07)分相比,研究组疼痛评分(1.90±0.12)分更低,产后出血量(168.29±17.56)ml更少,新生儿Apgar评分(9.80±0.09)分更高(P<0.05)。研究组产时发热率11.11%、最高体温(38.62±0.21)℃、白细胞计数(12.46±2.20)×10^(9)/L、中性粒细胞比例(75.41±5.33)%比对照组的3.33%、(38.39±0.16)℃、(10.30±1.69)×10^(9)/L、(68.60±4.71)%高,发热持续时间(4.56±1.11)h比对照组的(4.23±1.02)h长(P<0.05)。结论 产妇分娩中实行硬膜外分娩镇痛方案可提高自然分娩率,缩短产程,减轻分娩疼痛,减少产后出血,但同时也会增加产时发热的风险。 展开更多
关键词 产妇 硬膜外分娩镇痛 分娩产程 产时发热
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补中益气颗粒对气虚证产妇产后修复情况及转化生长因子β3、松弛素水平的影响
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作者 胡婉静 叶亦巍 《中华中医药学刊》 北大核心 2026年第1期93-97,共5页
目的分析补中益气颗粒对气虚证产妇产后修复的促进作用,并分析对产妇转化生长因子β3(Transforming growth factor-β3,TGF-β3)、松弛素(Relaxin,RLX)表达的影响。方法选取2021年4月—2022年9月于医院分娩的气虚证产妇112例,分为对照... 目的分析补中益气颗粒对气虚证产妇产后修复的促进作用,并分析对产妇转化生长因子β3(Transforming growth factor-β3,TGF-β3)、松弛素(Relaxin,RLX)表达的影响。方法选取2021年4月—2022年9月于医院分娩的气虚证产妇112例,分为对照组、研究组各56例。对照组产妇产后静脉注射缩宫素,同时使用康复治疗仪、穴位按摩辅助恢复,连续5 d;研究组产妇加用补中益气颗粒,3 g/次,2~3次/d,连续干预5 d。比较两组产后恢复情况(产后子宫入盆时间、血性恶露消失时间、每日宫底下降高度)、泌乳功能、母乳喂养率、乳房舒适度、子宫复旧情况、盆底功能、证候积分、激素水平、TGF-β3、RLX水平等指标差异。结果研究组子宫入盆时间[(5.32±0.57)d vs(6.83±1.10)d]、血性恶露消失时间[(4.64±1.23)d vs(7.44±2.04)d]显著短于对照组,每日宫底下降高度[(4.01±1.20)cm vs(2.33±0.95)cm]显著高于对照组(t=9.121、8.796、8.214,P<0.05)。研究组泌乳始动时间[(16.52±7.83)h vs(22.57±4.48)h]显著短于对照组,泌乳量[产后24 h:(46.59±4.76)mL vs(35.52±3.74)mL,产后72 h:(133.51±11.05)mL vs(116.48±10.49)mL]显著高于对照组(t=5.019、13.680、8.369,P<0.05)。研究组乳房舒适度[乳房无胀痛:44.64%vs 12.50%、乳房硬度Ⅰ度:51.79%vs 19.64%]显著优于对照组(Z=18.980、18.440,P<0.05)。研究组子宫三径之和[(237.42±11.55)mm vs(271.59±10.12)mm]、阻力指数[0.59±0.04 vs 0.77±0.08]、搏动指数[1.86±0.15 vs 2.12±0.17]显著低于对照组(t=16.650、15.060、8.582,P<0.05);研究组收缩期峰值流速[(41.20±5.51)cm/s vs(34.51±3.09)cm/s]显著高于对照组(t=7.925,P<0.05)。研究组盆底肌收缩压力[(97.58±12.26)cmH_(2)O vs(69.82±8.46)cmH_(2)O]、收缩持续时间[(19.41±1.48)s vs(7.22±1.30)s]、Ⅰ类肌纤维疲劳度[(5.51±0.94)%vs(6.85±1.00)%]、Ⅱ类肌纤维疲劳度[(5.59±0.87)%vs(6.82±1.05)%]显著低于对照组(t=13.950、46.310、7.306、6.750,P<0.05)。研究组证候积分[主要症状:(5.24±1.49)分)vs(7.82±1.63)分、次要症状:(2.13±0.25)分vs(3.14±0.53)分]显著低于对照组(t=8.743、12.900,P<0.05)。研究组催乳素(Prolactin,PRL)[(388.51±26.25)ng/mL vs(345.65±24.29)ng/mL]显著高于对照组,雌二醇(Estradiol,E_(2))[(515.64±68.47)U/L vs(691.82±85.00)U/L]显著低于对照组(t=8.968、2.739、12.080,P<0.05)。研究组TGF-β3[(27.46±4.52)mg/L vs(35.48±4.65)mg/L]、RLX[(53.22±3.17)μg/L vs(61.42±5.45)μg/L]显著低于对照组(t=9.255、9.733,P<0.05)。结论补中益气颗粒可促进气虚证产妇子宫复旧,抑制TGF-β3、RLX分泌,提高泌乳功能、盆底肌力,降低肌纤疲劳度,促进子宫复旧,短时间内促进产妇产后修复。 展开更多
关键词 气虚证产妇 补中益气颗粒 泌乳功能 子宫复旧 盆底功能 转化生长因子-Β3 松弛素
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认知负荷式饮食教育联合个性化运动疗法对妊娠糖尿病产妇血清指标及母婴结局的影响
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作者 周伟 《妇儿健康导刊》 2026年第1期133-136,共4页
目的 探讨认知负荷式饮食教育联合个性化运动疗法对妊娠糖尿病(GDM)产妇血清指标及母婴结局的影响。方法 选取2021年1月至2024年2月徐州矿务集团总医院妇产科收治的56例GDM产妇,采用掷硬币法分为两组。对照组(28例)实施传统护理,观察组... 目的 探讨认知负荷式饮食教育联合个性化运动疗法对妊娠糖尿病(GDM)产妇血清指标及母婴结局的影响。方法 选取2021年1月至2024年2月徐州矿务集团总医院妇产科收治的56例GDM产妇,采用掷硬币法分为两组。对照组(28例)实施传统护理,观察组(28例)在对照组基础上实施认知负荷式饮食教育联合个性化运动疗法,比较两组血糖指标、胰岛素指标、不良母婴结局总发生率。结果 观察组的不良母婴结局总发生率、干预后的血糖指标低于对照组(P<0.05);观察组干预后的胰岛素指标优于对照组(P<0.05)。结论 认知负荷式饮食教育联合个性化运动疗法的应用能够改善GDM产妇的血糖指标、胰岛素指标和母婴结局,值得推广。 展开更多
关键词 妊娠糖尿病 产妇 认知负荷式饮食教育 个性化运动疗法 血糖指标 胰岛素指标 母婴结局
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综合护理对母婴分离高危妊娠产妇产后角色适应能力及母乳喂养的影响 被引量:8
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作者 杨长捷 王亚静 +3 位作者 张莉 安培培 冯淑菊 李颖 《川北医学院学报》 2025年第2期260-263,共4页
目的:探讨综合护理对母婴分离高危妊娠产妇产后角色适应能力及母乳喂养的影响。方法:将74例母婴分离高危妊娠产妇根据护理方式不同分为对照组(n=37)与观察组(n=37)。对照组给予常规护理;观察组给予综合护理。对比两组产妇角色适应能力... 目的:探讨综合护理对母婴分离高危妊娠产妇产后角色适应能力及母乳喂养的影响。方法:将74例母婴分离高危妊娠产妇根据护理方式不同分为对照组(n=37)与观察组(n=37)。对照组给予常规护理;观察组给予综合护理。对比两组产妇角色适应能力、初始泌乳时间、7 d内泌乳量、母乳喂养及乳房肿胀情况。结果:护理前,两组产妇角色适应能力各项评分比较,差异均无统计学意义(P>0.05);护理后,两组产妇角色适应能力各项评分均升高,且观察组角色适应能力评分均高于对照组(P<0.05);观察组初始泌乳时间更短,产后7 d内泌乳量充足占比高于对照组(P<0.05);观察组母乳喂养率高于对照组(P<0.05);两组产妇产后乳房肿胀疼痛程度比较,观察组I、II度占比高于对照组(P<0.05)。结论:综合护理在母婴分离高危妊娠产妇的产后护理中具有优势,能够更全面地满足产妇多方面需求,提高其角色适应能力,促进母乳喂养成功率,值得推广应用。 展开更多
关键词 综合护理 母婴分离高危妊娠产妇 产后角色适应能力 母乳喂养情况
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房坦循环产妇的麻醉管理进展
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作者 刘丹丹 夏道林 +2 位作者 戴雨晨 彭贞丹 孙杰 《临床麻醉学杂志》 北大核心 2025年第12期1326-1330,共5页
房坦(Fontan)手术是治疗复杂先天性心脏病的姑息性术式,可以改善复杂先天性心脏病患者的心输出量与氧合,让患有单心室心脏病的女性能够存活到生育年龄,然而围术期缺氧和血流动力学波动严重威胁母婴健康。体外膜肺氧合(ECMO)辅助房坦循... 房坦(Fontan)手术是治疗复杂先天性心脏病的姑息性术式,可以改善复杂先天性心脏病患者的心输出量与氧合,让患有单心室心脏病的女性能够存活到生育年龄,然而围术期缺氧和血流动力学波动严重威胁母婴健康。体外膜肺氧合(ECMO)辅助房坦循环产妇在分娩期间维持充足的组织灌注与血流,进而提高母胎的生存率。本综述通过汇总近年来的文献,从房坦循环的病理生理、妊娠和分娩期间血流动力学的变化、不同麻醉方法对血流动力学的影响以及ECMO辅助的优势等方面总结分析,以期为房坦循环产妇的临床有效干预提供参考。 展开更多
关键词 房坦循环 产妇 麻醉方法 体外膜肺氧合 麻醉管理
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基于穴位按压的自由体位结合适度会阴保护在产妇中的应用效果
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作者 李婷婷 周小霞 金荣 《中西医结合护理(中英文)》 2025年第4期45-48,共4页
目的评估产妇在分娩时应用基于穴位按压的自由体位以及适度会阴保护所取效果,评估干预措施对会阴疼痛以及分娩结局所产生的影响。方法患者建档时间为2022年3月至2023年3月,研究入组对象均收治于江苏省东台市人民医院产科,经自然分娩,样... 目的评估产妇在分娩时应用基于穴位按压的自由体位以及适度会阴保护所取效果,评估干预措施对会阴疼痛以及分娩结局所产生的影响。方法患者建档时间为2022年3月至2023年3月,研究入组对象均收治于江苏省东台市人民医院产科,经自然分娩,样本量为80例,回顾性分析产妇基线资料,依照护理差异将其划分为对照组(42例)和观察组(38例)。对照组予以其常规护理,观察组则采取基于穴位按压的自由体位+适度会阴保护,观察干预效果,评估应用效果。结果产时、分娩后1 d、2 d和出院时,观察组产妇会阴疼痛程度均低于对照组(P均<0.05)。观察组的不良妊娠结局总发生率低于对照组(P<0.05)。出院时,入组对象生活质量评分均明显提高;较之于同期对照组,观察组各项评分均较高(P均<0.05);产妇会阴撕裂程度对比结果显示,观察组轻于对照组(P<0.05)。结论产妇分娩时联合应用基于穴位按压的自由体位、适度会阴保护对于改善母婴结局具有关键性作用,能够减轻产妇于分娩时存在的会阴疼痛强度,产后出血发生率,提高产妇整体生活质量,且产妇会阴撕裂程度较轻。 展开更多
关键词 产妇 穴位按压 自由体位 适度会阴保护 会阴疼痛程度
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纳布啡复合舒芬太尼对高龄产妇剖宫产术后镇痛效果及炎症因子的影响
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作者 杜丽芳 宁锋锋 +2 位作者 韩旭东 张鹏 葛亮 《分子诊断与治疗杂志》 2025年第10期1907-1909,1913,共4页
目的探讨纳布啡复合舒芬太尼对高龄产妇剖宫产术后镇痛效果及炎症因子的影响。方法选择2023年8月至2024年8月于甘肃省妇幼保健院行剖宫产的204例高龄产妇作为研究对象,并按随机数字法分为联合组(n=102)与对照组(n=102),两组孕妇均行腰-... 目的探讨纳布啡复合舒芬太尼对高龄产妇剖宫产术后镇痛效果及炎症因子的影响。方法选择2023年8月至2024年8月于甘肃省妇幼保健院行剖宫产的204例高龄产妇作为研究对象,并按随机数字法分为联合组(n=102)与对照组(n=102),两组孕妇均行腰-硬联合麻醉,其中对照组给予舒芬太尼,联合组给予纳布啡复合舒芬太尼。观察记录两组孕妇围术期相关指标(首次下床活动时间、自主排尿时间、有效镇痛时间、镇痛补救、舒芬太尼用量),术后6 h、12 h、24 h视觉模拟评分法(VAS)、Ramsay镇静评分,术前、术后24h血清坏死因子α(TNF-α)、白细胞介素-6(IL-6)变化及不良反应发生率。结果联合组孕妇首次下床活动时间、自主排尿时间短于对照组,镇痛补救率、舒芬太尼用量低于对照组,有效镇痛时间长于对照组,差异有统计学意义(P<0.05)。联合组孕妇术后6 h、12 h、24 h VAS评分均明显低于对照组,差异有统计学意义(P<0.05)。两组孕妇术后24 h血清TNF-α、IL-6水平与术前比较均升高,但联合组升高幅度低于对照组,差异有统计学意义(P<0.05)。联合组孕妇剖宫产术期间不良反应发生率为4.90%,明显低于对照组的23.55%,差异有统计学意义(P<0.05)。结论纳布啡复合舒芬太尼在高龄产妇剖宫产术后镇痛中具有较好的应用效果,在保证镇痛效果的同时,减少了强效阿片类药物舒芬太尼的用量,并展现出抑制炎性反应和良好的安全性特征。这一镇痛方案为高龄产妇这一特殊群体的术后镇痛管理提供了新的有效选择,值得在临床实践中进一步推广和应用。 展开更多
关键词 纳布啡 舒芬太尼 高龄孕妇 剖宫产 镇痛效果 炎症因子
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产妇与新生儿多维度因素对早产儿支气管肺发育不良风险及分级影响分析
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作者 李炎 温园香 《中国妇幼健康研究》 2025年第8期84-90,共7页
目的分析产妇与新生儿多维度因素对早产儿支气管肺发育不良(BPD)的风险及严重程度分级的影响。方法回顾性收集268例梅州市人民医院2021年1月—2024年6月收治的出生体重低于1500g、胎龄<32周的早产儿。根据患儿是否发生BPD分为BPD组(n... 目的分析产妇与新生儿多维度因素对早产儿支气管肺发育不良(BPD)的风险及严重程度分级的影响。方法回顾性收集268例梅州市人民医院2021年1月—2024年6月收治的出生体重低于1500g、胎龄<32周的早产儿。根据患儿是否发生BPD分为BPD组(n=85)和无BPD组(n=183);其中85例BPD早产儿根据BPD严重程度分级标准分为Ⅰ度BPD组(n=42)和Ⅱ/Ⅲ度BPD组(n=43)。比较组间的产妇、新生儿等因素的差异,并采用多因素Logistic回归方法分析BPD的发生及严重程度分级的影响因素。结果胎龄、出生体重、窒息、喂养不耐受、肺炎、动脉导管未闭(PDA)、PDA药物治疗、新生儿呼吸窘迫综合征(RDS)、新生儿视网膜病变(ROP)、有创机械通气时长、无创通气时长、常压吸氧时长与是否患有BPD有关(t/χ^(2)/Z值分别为3.763、5.387、20.889、4.663、5.381、20.634、5.869、7.380、15.779、-8.136、-7.860、-4.971,P<0.05);胎龄小(OR=1.369,95%CI:1.167~1.605)、体重轻(OR=1.015,95%CI:1.003~1.036)、常压吸氧时间长(OR=1.005,95%CI:1.002~1.007)、无创通气时间长(OR=1.004,95%CI:1.003~1.005)、有创机械通气时间长(OR=1.002,95%CI:1.001~1.003)是BPD的独立风险因素(P<0.05);胎龄、出生体重、喂养不耐受、使用地塞米松治疗、有创机械通气时长与BPD严重程度分级有关(t/χ^(2)/Z值分别为2.024、2.696、4.344、9.660、-3.925,P<0.05);体重轻(OR=1.006,95%CI:1.002~1.010)、有创机械通气时间长(OR=1.014,95%CI:1.011~1.045)是BPD严重程度分级的独立风险因素(P<0.05)。结论胎龄小、出生体重轻、常压吸氧时间长、无创通气时间长、有创机械通气时间长可致BPD风险增加;早产儿出生体重越轻、有创机械通气时间越长,发生Ⅱ/Ⅲ度BPD的几率越大,因此,对于胎龄小、低出生体重的早产儿,应首选无创通气,减少机械通气时长。 展开更多
关键词 产妇 新生儿 早产儿 支气管肺发育不良 风险 分级 多维度因素
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经阴道旋转胎头联合腹部旋转胎背在头位难产产妇中的应用效果
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作者 刘津 张晗 王义 《中外医药研究》 2025年第29期82-84,共3页
目的:对比单纯经阴道旋转胎头与经阴道旋转胎头联合腹部旋转胎背在头位难产产妇中的应用效果。方法:选取2023年1月—2025年1月于吉林省妇幼保健院进行产检并分娩的头位难产产妇90例,采用随机数字表法分为对照组与观察组,每组45例。对照... 目的:对比单纯经阴道旋转胎头与经阴道旋转胎头联合腹部旋转胎背在头位难产产妇中的应用效果。方法:选取2023年1月—2025年1月于吉林省妇幼保健院进行产检并分娩的头位难产产妇90例,采用随机数字表法分为对照组与观察组,每组45例。对照组予以单纯经阴道旋转胎头干预,观察组予以经阴道旋转胎头联合腹部旋转胎背干预。对比两组旋转胎头成功率、分娩结局、分娩并发症、新生儿不良结局。结果:观察组旋转胎头成功率高于对照组(P=0.036);观察组自然分娩率高于对照组(P=0.027),剖宫产率低于对照组(P=0.048);两组产钳助产率对比,无统计学差异(P>0.05);观察组妊娠并发症发生率较对照组低(P=0.024);观察组新生儿不良结局发生率低于对照组(P=0.024)。结论:经阴道旋转胎头联合腹部旋转胎背能有效促进胎位转变,改善产妇分娩结局,降低分娩并发症、新生儿不良结局发生率。 展开更多
关键词 头位难产 经阴道旋转胎头 腹部旋转胎背 分娩结局 产妇
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袋鼠式护理对母婴同室产妇心理应激及新生儿照护能力的影响探讨
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作者 花香 刘永鑫 杨露 《中外女性健康研究》 2025年第5期25-28,共4页
目的:探讨袋鼠式护理应用于母婴同室产妇中对其心理应激及新生儿照护能力的影响价值。方法:选取2023年1月至2024年1月于本院产科分娩的100例母婴同室产妇按随机数字表分为两组,给予对照组(50例)产妇常规护理,给予观察组(50例)产妇袋鼠... 目的:探讨袋鼠式护理应用于母婴同室产妇中对其心理应激及新生儿照护能力的影响价值。方法:选取2023年1月至2024年1月于本院产科分娩的100例母婴同室产妇按随机数字表分为两组,给予对照组(50例)产妇常规护理,给予观察组(50例)产妇袋鼠式护理,观察两组产后泌乳情况、产妇心理应激、新生儿照护能力、母乳喂养成功率以及新生儿行为状态等指标水平变化情况。结果:护理后,较之对照组,观察组首次泌乳时间更短,第3天与1个月泌乳量更大(P<0.05);观察组SDS与SAS评分较对照组更低,新生儿照护能力评分较对照组更高(P<0.05);观察组母乳喂养成功率显著大于对照组(P<0.05);观察组行为能力、被动肌张力、主动肌张力、原始反射以及一般反应等评分均较对照组更高(P<0.05)。结论:母婴同室产妇予以袋鼠式护理,可促进产妇泌乳,并可明显提高产妇负性情绪改善效果,提升其新生儿照护能力,从而可增加母乳喂养成功率,改善新生儿行为状态,获得良好的干预效果。 展开更多
关键词 产妇 母婴同室 袋鼠式护理 心理应激 新生儿照护能力
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