胎膜早破产妇的临床护理干预效果分析

任利娜，魏艳梅

（榆林市中医医院，陕西 榆林，719000）

浏览次数：88次 下载次数：344次

摘要：

目的 分析胎膜早破产妇的临床护理干预效果。方法 选取2014年9月至2015年9月入我院治疗的胎膜早破产妇140例，将所有产妇随机分为试验组和对照组，各70例。其中对照组产妇采取常规护理干预方式进行护理治疗，试验组产妇则在对照组的基础上，增加综合性护理干预方法。对比两组产妇在不同护理措施下的临床孕周、产后出血情况、新生儿情况。结果 护理后，试验组新生儿的体重、Apgar评分高于对照组，死亡率明显低于对照组，差异具有统计学意义（P<0.05）；试验组产妇的出血量、感染率少于对照组，孕周长于对照组，差异有统计学意义（P<0.05）；试验组产妇的临床护理满意度、临床护理评分均高于对照组（P<0.05）。结论 采取合理的临床护理措施对胎膜早破产妇进行感染预防，能够有效提高新生儿生存率。综合护理干预可明显改善产妇和新生儿预后。

关键词：胎膜早破；临床护理干预；产妇护理

中图分类号：R473.71文献标志码：A文章编号：2096-1413(2017)11-0175-02

Clinical effect of nursing intervention on premature rupture of fetal membranes
REN Li-na, WEI Yan-mei
(Traditional Chinese Medicine Hospital of Yulin, Yulin 719000, China)

ABSTRACT: Objective To study the effect of clinical nursing intervention on premature rupture of fetal membranes. Methods One hundred and forty cases of premature rupture of fetal membranes admitted in our hospital from September 2014 to September 2015 were selected, and randomly divided into experimental group and control group, each of 70 cases. The control group was treated with routine nursing intervention, the experimental group added comprehensive nursing intervention on the basis of the control group. The gestational weeks, postpartum hemorrhage and the postpartum situation of newborn were compared between the two groups. Results After nursing, the newborms' weight and Apgar scores in the experimental group were significantly higher than those of the control group, the mortality rate was lower than that of the control group (P<0.05); the postpartum hemorrhage amount and infection rate of the maternal in the experimental group were significantly lower than those in the control group (P <0.05), and the gestational weeks was longer than that of the control group (P <0.05); the nursing satisfactory and clinical nursing scores of the experimental group were higher than those of the control group (P<0.05). Conclusion It is conductive to improving the survival rate of the newborn to accept reasonable clinical nursing measures and the prevention of clinical infection. Comprehensive nursing intervention can do a good job in improving the safety of delivery.
KEYWORDS: premature rupture of membranes; clinical nursing intervention; maternal care

参考文献：
[1] 李冠芳.产科护理干预对胎膜早破产妇的临床效果观察[J].中国当代医药,2013,20(11):126-127.
[2] 齐春莉.胎膜早破护理要点分析及对产妇的影响观察[J].河北医学,2013,19(8):1255-1257.
[3] 房锡娟.护理干预对胎膜早破产妇的临床效果观察[J].中国实用医药,2014,9(7):244-245.
[4] 肖月红.产科护理干预对胎膜早破产妇的临床效果观察[J].中国民康医学,2012,24(9):1129-1131.
[5] 王洁,曹志华,叶燕燕,等.护理干预用于产妇胎膜早破临床预防感染的效果评价[J].中华医院感染学杂志,2016,26(5):1124-1125,1148.
[6] ANSARI F.Neonatal complications of premature rupture of membranes[J].Acta Medica Iranica,2011,41(253):401-404.
[7] 蒋苏月.早产胎膜早破124例临床护理体会[J].中国农村卫生事业管理,2011,31(1):44-45.
[8] HACKENHAAR AA,ALBERNAZ EP,DA FONSECA TM.Preterm premature rupture of the fetal membranes:association with sociodemo-graphic factors and maternal genitourinary infections[J].J Pediatri,2014, 90(2):197-202.