中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
25期
160-162
,共3页
瘢痕子宫妊娠%剖宫产%围术期%护理
瘢痕子宮妊娠%剖宮產%圍術期%護理
반흔자궁임신%부궁산%위술기%호리
Scar uterine pregnancy%Cesarean section%Perioperative period%Nursing
目的：研究并探讨瘢痕子宫妊娠剖宫产产妇围术期的护理措施，为减少妊娠不利结局提供参考依据。方法整群选取2013年1月-2014年12月在该院妇产科瘢痕子宫妊娠进行剖宫产的210例产妇作为研究对象，按照随机分配的方式，将这210例产妇分为对照组105例和观察组105例。对照组产妇采取常规护理措施进行护理，观察组产妇采取整体护理措施进行护理。对观察组和对照组中产妇的治疗情况和并发症发生情况以及新生儿的Apgar评分进行观察对比。结果与对照组相比，观察组产妇的术中出血量明显更少(P<0.05)，其住院时间明显更短(P<0.05)。对照组产妇的并发症发生率为16.19%，观察组产妇的并发症发生率为5.71%，观察组产妇的并发症发生率较对照组明显更低(P<0.05)。同时，观察组的新生儿的Apgar评分较对照组明显更优(P<0.05)。结论对瘢痕子宫妊娠剖宫产产妇采取整体护理措施进行护理，能够有效减少产妇并发症的发生，促进产妇产后的恢复，提高新生儿的Apgar评分，有利于减少妊娠不利结局的发生，提高优生优育率。
目的：研究併探討瘢痕子宮妊娠剖宮產產婦圍術期的護理措施，為減少妊娠不利結跼提供參攷依據。方法整群選取2013年1月-2014年12月在該院婦產科瘢痕子宮妊娠進行剖宮產的210例產婦作為研究對象，按照隨機分配的方式，將這210例產婦分為對照組105例和觀察組105例。對照組產婦採取常規護理措施進行護理，觀察組產婦採取整體護理措施進行護理。對觀察組和對照組中產婦的治療情況和併髮癥髮生情況以及新生兒的Apgar評分進行觀察對比。結果與對照組相比，觀察組產婦的術中齣血量明顯更少(P<0.05)，其住院時間明顯更短(P<0.05)。對照組產婦的併髮癥髮生率為16.19%，觀察組產婦的併髮癥髮生率為5.71%，觀察組產婦的併髮癥髮生率較對照組明顯更低(P<0.05)。同時，觀察組的新生兒的Apgar評分較對照組明顯更優(P<0.05)。結論對瘢痕子宮妊娠剖宮產產婦採取整體護理措施進行護理，能夠有效減少產婦併髮癥的髮生，促進產婦產後的恢複，提高新生兒的Apgar評分，有利于減少妊娠不利結跼的髮生，提高優生優育率。
목적：연구병탐토반흔자궁임신부궁산산부위술기적호리조시，위감소임신불리결국제공삼고의거。방법정군선취2013년1월-2014년12월재해원부산과반흔자궁임신진행부궁산적210례산부작위연구대상，안조수궤분배적방식，장저210례산부분위대조조105례화관찰조105례。대조조산부채취상규호리조시진행호리，관찰조산부채취정체호리조시진행호리。대관찰조화대조조중산부적치료정황화병발증발생정황이급신생인적Apgar평분진행관찰대비。결과여대조조상비，관찰조산부적술중출혈량명현경소(P<0.05)，기주원시간명현경단(P<0.05)。대조조산부적병발증발생솔위16.19%，관찰조산부적병발증발생솔위5.71%，관찰조산부적병발증발생솔교대조조명현경저(P<0.05)。동시，관찰조적신생인적Apgar평분교대조조명현경우(P<0.05)。결론대반흔자궁임신부궁산산부채취정체호리조시진행호리，능구유효감소산부병발증적발생，촉진산부산후적회복，제고신생인적Apgar평분，유리우감소임신불리결국적발생，제고우생우육솔。
Objective To study the perioperative nursing intervention for puerperants with scar uterine pregnancy underwent ce-sarean section so as to provide reference for reducing the adverse pregnancy outcome. Methods 210 puerperants with scar uterine pregnancy underwent cesarean section in Obstetrics and Gynecology Department of our hospital from January 2013 to December 2014 were selected as the subjects and randomly divided into the control group and the observation group with 105 puerperants in each. Puerperants in the control group were treated by the conventional nursing, and those in the observation group were treated by the holistic nursing intervention. The status of treatment and incidence of complications and neonatal Apgar scores of the two groups were observed and compared. Results Compared with the control group, puerperants in the observation group had much less intraoperative blood loss (P<0.05) and shorter length of stay (P<0.05). The incidence of complications was much lower in the puerperants in the observation group than that in those in the control group(5.71%vs 16.19%) (P<0.05). The neonatal Apgar scores were much better in the observation group than those in the control group (P<0.05). Conclusion For puerperants with scar uterine pregnancy underwent cesarean section, holistic nursing intervention can reduce the incidence of complications and promote the postpartum recovery and improve the neonatal Apgar scores, which is conducive to reducing the incidence of adverse pregnancy outcome and improving the rate of eugenics.
