CAJ | 학술논문

目的探讨护理干预对早发型重度子痫前期并发症的影响.方法选择2010年1月1日至2011年12月31日120例期待治疗早发型重度子痫前期患者,随机分为干预组和对照组,各60例.对照组对早发型重度子痫前期患者进行常规治疗、护理,干预组在重度子痫前期常规治疗、护理基础上进行各项护理干预措施,比较两组并发症发生情况.结果干预组发生胎盘早剥1例,低蛋白血症3例,无HELLP综合征、心力衰竭、肾衰竭及子痫病例发生,母婴结局良好,无孕产妇及新生儿死亡.对照组发生心力衰竭3例,肾衰竭4例,胎盘早剥5例,HELLP综合征4例,低蛋白血症16例,子痫2例,无孕产妇死亡,但有2例新生儿因重度窒息死亡.两组间并发症比较差异有统计学意义(P＜0.05).结论对早发型重度子痫前期患者进行护理干预措施,能减少胎盘早剥、院内子痫、心力衰竭、肾衰竭、低蛋白血症、HELLP综合征等并发症的发生,对提高早发型重度子痫前期患者的生存质量及围生儿的生命质量具有实际的临床意义.
목적 탐토호리간예대조발형중도자간전기병발증적영향.방법 선택2010년1월1일지2011년12월31일120례기대치료조발형중도자간전기환자,수궤분위간예조화대조조,각60례.대조조대조발형중도자간전기환자진행상규치료、호리,간예조재중도자간전기상규치료、호리기출상진행각항호리간예조시,비교량조병발증발생정황.결과 간예조발생태반조박1례,저단백혈증3례,무HELLP종합정、심력쇠갈、신쇠갈급자간병례발생,모영결국량호,무잉산부급신생인사망.대조조발생심력쇠갈3례,신쇠갈4례,태반조박5례,HELLP종합정4례,저단백혈증16례,자간2례,무잉산부사망,단유2례신생인인중도질식사망.량조간병발증비교차이유통계학의의(P＜0.05).결론 대조발형중도자간전기환자진행호리간예조시,능감소태반조박、원내자간、심력쇠갈、신쇠갈、저단백혈증、HELLP종합정등병발증적발생,대제고조발형중도자간전기환자적생존질량급위생인적생명질량구유실제적림상의의.
Objective To discuss the influence of nursing intervention on the complications of early onset severe preeclampsia.Methods 120 patients with early onset severe preeclampsia from January 2010 to December 2011 were selected and randomly divided into two groups:the control group and the observation group.The control group received conventional treatment and nursing,while the observation group received nursing intervention in addition,and two groups' complications were compared.Results In the observation group,there was one placental abruption case,three hypoproteinemia,no HELLP syndrome,no heart failure,no renal failure,no eclampsia,no maternal death and no neonatal death,and the maternal-infant outcome was good.In the control group,there were 5 placental abruption cases,16 hypoproteinemia,4 HELLP syndrome,3 heart failure,4 renal failure,2 eclampsia,no maternal death but 2 neonatal death caused by severe perinatal asphyxia.The difference of the complications was statistically significant ( P ＜ 0.05 ).Conclusions Nursing intervention for patients with early onset severe preeclampsia is clinically effective to reduce the incidence rate of complications such as placental abruption,eclampsia in hospital,heart failure,renal failure,hypoproteinemia and HELLP syndrome,as well as to improve the life quality of both the patients and the perinatal child.