68例羊水栓塞致心脏停搏患者抢救及有效护理分析.docVIP

精品论文 参考文献 68例羊水栓塞致心脏停搏患者抢救及有效护理分析 [摘 要]目的：探讨羊水栓塞致心脏停博患者的抢救方法及有效护理措施。方法：选取我院收治的68例羊水栓塞致心脏停博患者为研究对象，所有患者均接受我院抢救及护理，全部抢救成功后随机分为观察组与对照组两组，对照组采取临床综合护理，观察组在对照组护理基础上加用心理护理，分析我院抢救及护理方法，并探讨加用心理护理的效果。结果：所有患者均抢救成功，经临床护理干预后，观察组患者HAMD、SAS评分显著低于对照组（P＜0.05），QL-Index生活质量总分显著高于对照组（P＜0.05）。结论：羊水栓塞致心脏停博病情凶险，加强急救与护理工作有利于提高患者生存率，抢救成功后加强患者心理护理有助于改善患者心理状态及生存质量。 [关键词]羊水栓塞 心脏停博 抢救 护理 DOI:10.3760/cma.j.issn.1672-7088.2015.36.31 作者单位：063000，河北省唐山市，唐山工人医院产科 作者简介：田玉荣（1975—），女，唐山人，本科，唐山工人医院主管护师，研究方向：产科危重症患者护理。 Rescue methods and effective care measures of cardiac arrest patients caused by amniotic fluid embolism Tian Yurong Abstract：Objective: To investigate the rescue methods and effective care measures of cardiac arrest patients caused by amniotic fluid embolism. Methods: Selected 68 cardiac arrest patients caused by amniotic fluid embolism from our hospital as study objects and randomly divided into observation group and control group. The control group was given clinical comprehensive nurse and the observation group was given psychological care on the basis of control group. Analyzed nursing methods and investigated the effect of psychological care. Results: All patients were rescued successfully, after clinical nursing intervention, the observation grouprsquo;s HAMD score and SAS score were obviously lower than the control group（P＜0.05） and its QL-Index was obviously higher than the control group（P＜0.05）. Conclusion: Cardiac arrest caused by amniotic fluid embolism was a dangerous disease, strengthening aid and nursing can effectively improve patientrsquo;s survival rate. Strengthening patientrsquo;s psychological care can contribute to the improvement of patients mental state and quality of Life. Keywords: Amniotic fluid embolism；Cardiac arrest；Rescue；nurse 羊水栓塞是产科最严重急剧且难以控制的并发症[1~2]，因分娩过程中羊水突发进入母体血循环，从而可造成急性肺栓塞、弥漫性血管内凝血（DIC）、过敏性休克、肾衰等出现，是造成母婴死亡的重要影响因素。羊水栓塞病死率高[3~4]，采取及时有效的抢救及护理是提高患者抢救成功率的重要措施，而救治成功后的护理干预，同样对患者的生存质量及心理状态有重要影响，因此本文对我院收治的68例羊水栓塞致心脏停博患者抢救及护理做出了分析，取得了满意效果，现