全程助产模式对高血压产妇分娩质量及产程影响.docVIP

全程助产模式对高血压产妇分娩质量及产程影响 　　[摘要] 目的 评估全程助产模式对高血压产妇分娩质量及产程的影响。 方法 随机抽取2012年3月～2014年3月于我院产科接受治疗、待产的100例妊娠高血压综合征患者作为研究对象，按照随机数字表法将其分为对照组与观察组两组，分别为50例。对对照组患者行常规产科护理，对观察组患者则采用全程助产模式，观察应用不同的产科护理模式对产妇产程的影响，同时比较两组产妇的分娩质量。 结果 观察组总产程为（477.3±46.2）min，明显短于对照组的（605.1±89.6）min；观察组产后出血量（112.6±9.8）mL，同样低于对照组（P0.05），且观察组产妇自然分娩34例，明显高于对照组（P0.05）；观察组新生儿异常3例，分别为巨大儿1例，宫内窘迫1例，高胆红素血症1例，整体新生儿异常率明显低于对照组（P0.05）。 结论 在高血压产妇的围产期护理中应用全程助产模式，对缩短产程，提高分娩及新生儿质量有积极的作用，值得推广。 　　[关键词] 高血压；产妇；妊娠；分娩质量；助产；产程 　　[中图分类号] R473.71 [文献标识码] B [文章编号] 2095-0616（2015）19-150-03 　　[Abstract] Objective To evaluate the effect of whole midwifery mode in the delivery quality and labor process of hypertensive maternal. Methods 100 patients with pregnancy-induced hypertension who were treated in the department of obstetrics in our hospital from March 2012 to March 2014 were randomly selected as the research subjects， and they were divided into control group and research group with 50 patients in each according to random number table. The control group was treated with conventional obstetrical nursing， and the observation group was treated with whole midwifery mode. The effects of different obstetrical nursing methods in labor process and delivery quality of two groups were compared. Results The total labor process of observation group was （477.3±46.2） min， which was significantly shorter than （605.1±89.6） min. The postpartum hemorrhage volume of observation group was （112.6±9.8） mL， which was less than that of control group （P0.05）. 34 cases were natural delivery of observation group， which was more than that of control group （P0.05）. There were 3 abnormal neonates observation group including 1 neonate with fetal macrosomia， 1 neonate with fetal distress and 1 neonate with hyperbilirubinemia， and total abnormal rate of neonates was significantly lower than that of control group （P0.05）. Conclusion The application of whole midwifery mode for hypertensive maternal in perinatal period can shorter labor process and improve qua