妊高症产妇综合性护理研究.docVIP

妊高症产妇综合性护理研究 　　【摘要】 目的 探究妇产科妊娠高血压综合征（妊高症）产妇的临床护理方法， 观察临床疗效。方法 44例妊高症患者通过妇科B超、彩超等手段确诊， 随机分为对照组和实验组， 每组22例。对照组采用传统护理方法进行护理， 实验组在对照组的基础上进行改良， 护理3周后观察护理效果。结果 经过3周的护理后， 对照组发生先兆子痫12例（54.55%）、子痫3例（13.64%）， 顺产10例（45.45%）， 剖宫产12例（54.55%）， 新生儿Apgar评分为（8.2±0.2）分；实验组发生先兆子痫8例（32.36%）、子痫1例（4.55%）， 顺产18例（81.82%）， 剖宫产4例（18.18%）， 新生儿Apgar评分为（9.1±0.4）分。实验组顺产人数明显多于对照组， 且实验组Apgar 评分明显高于对照组， 比较差异具有统计学意义（P0.05）。结论 对于妇产科妊高症产妇的护理采用改良后的措施， 临床疗效显著、恢复快、患者满意度高， 可于临床中推荐应用。 　　【关键词】 妇产科；妊娠高血压综合征；产妇；临床护理 　　DOI：10.14163/j.cnki.11-5547/r.2015.25.148 　　【Abstract】 Objective To investigate clinical nursing methods for puerpera with pregnancy-induced hypertension in department of obstetrics and gynecology， and to observe clinical effects. Methods A total of 44 patients with pregnancy-induced hypertension diagnosed by gynecologic B ultrasound and color Doppler ultrasound were randomly divided into control group and experimental group， with 22 cases in each group. The control group received traditional nursing methods， and the experimental group received modified methods. Nursing effects were observed after 3 weeks of nursing. Results After 3 weeks of nursing， there were 12 cases with preeclampsia （54.55%）， 3 cases with eclampsia （13.64%）， 10 cases by spontaneous labor （45.45%）， and 12 cases by sesarean section （54.55%） in the control group. Their neonatal Apgar score was （8.2±0.2） points. In the experimental group， there were 8 cases with preeclampsia （32.36%）， 1 case with eclampsia （4.55%）， 18 cases by spontaneous labor （81.82%）， and 4 cases by sesarean section （18.18%）. Their neonatal Apgar score was （9.1±0.4） points. The experimental group had more spontaneous labor cases and obviously higher Apgar score than the control group， and their differences had statistical significance （P0.05）. Conclusion Implement of modified nursing methods for puerpera with pregnancy-induced hypertension in department of obstetrics and gynecology can provide precisely clinical effect， quick rehabilitation， and high sa