探讨高危妊娠的护理监测与护理管理.docVIP

精品论文 参考文献 探讨高危妊娠的护理监测与护理管理 佳木斯妇幼保健院 154002 摘要：目的 研究分析高危妊娠的护理检测与护理管理方法及效果。方法 此次研究的对象是选取我院2008年2月至2010年2月诊断为高危妊娠的孕妇288例，将其临床资料进行回顾性分析，并随机分为观察组和对照组，各144例，观察组给予相应的护理检测与护理管理措施，对照组进行常规产检及护理，观察对比两组分娩结局。结果 观察组皆顺利分娩，其中顺产106例，剖宫产38例，无新生儿窒息或死亡案例；对照组顺产64例，剖宫产80例，新生儿窒息4例，胎死腹中1例，两组护理结果对比差异显著（P＜0.05），具有统计学意义。结论 高危妊娠的护理检测与护理管理能有效降低高危孕妇的剖宫产率及新生儿死亡率，对保障母婴安全有重要的临床意义，值得临床推广。 　　关键词：高危妊娠 护理监测与护理管理 新生儿死亡率 　　[Abstract] Objective To study the method and effect of nursing examination and nursing management of high risk pregnancy. Methods the study object is selected in our hospital in 2008 February to February 2010 diagnosis of 288 cases of pregnant women with high risk pregnancy，the clinical data were retrospective analysis and randomly divided into observation group and control group，with 144 cases in each group，the observation group was give corresponding nursing monitoring and nursing management measures，patients in the control group were treated by the routine examination and care，observed and compared two groups of labor outcome. Results in the observation group all smooth delivery，including 106 cases of spontaneous，38 cases of cesarean section，no neonatal asphyxia and death case；control delivery group 64 cases，80 cases of cesarean section，4 cases of neonatal asphyxia，intrauterine fetal death in 1 case，two groups of nursing the difference is significant（P lt; 0.05）with statistical significance. Conclusion the nursing examination and nursing management can effectively reduce the rate of cesarean section and neonatal mortality in high-risk pregnant women，and it has important clinical significance to ensure the safety of mother and infant. [Key words] high risk pregnancy nursing monitoring and nursing management of neonatal mortality 孕产妇死亡率和围产儿死亡率是衡量产科质量的重要指标，高危妊娠是引起孕产妇和新生儿死亡的主要原因，高危妊娠可以引起难产或者给孕妇及胎儿造成一定的危害。 因此加强高危妊娠孕妇孕期的监测和管理是提高孕产妇健康水平的有效措施[1]，随着医学模式由单纯生物医学转变为生物-心理-社会医学模式，妇产科护理也随之得到相应的调整，如何让患者能顺利度过这一阶段，是临床医生和护士努力的方向，我院在高危妊娠孕妇孕期进行相应的护理监测和护理管理，效果较好，现报告如下：　 1 资料和方法