循证护理在胎膜早破患者中临床应用效果分析.docVIP

循证护理在胎膜早破患者中临床应用效果分析 　　[摘要] 目的 分析循证护理在胎膜早破产妇中的临床应用效果。方法 方便选取2016年3―9月期间该院收治的60例胎膜早破产妇，将其随机化分组，两组各有30例，观察组和对照组分别采用循证护理干预和常规护理干预，对比两组产妇的第一产程、总产程、第二产程、阴道顺产、Apgar评分、新生儿体质量、新生儿窘迫率、病理性黄疸率。结果 观察组产妇的总产程（416.76±35.82）min、第二产程（30.39±2.41）min、第一产程（341.18±16.52）min、阴道顺产（63.33%）、新生儿Apgar评分（9.85±0.86）分、新生儿体质量（2 865.15±156.25）g、新生儿病理性黄疸发生率（0.00%）、新生儿窘迫发生率（3.33%）均优于对照组（P0.05）。结论 对胎盘早破?a妇实施循证护理干预，能够改善妊娠结局，提高分娩安全性。 　　[关键词] 循证护理；胎膜早破；效果 　　[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742（2017）12（a）-0168-03 　　[Abstract] Objective To analyze the clinical application effect of evidence-based nursing in patients with premature rupture of fetal membranes. Methods 60 cases of delivery women with premature rupture of fetal membranes admitted and treated in our hospital from March to September， 2016 were convenient randomly divided into two groups with 30 cases in each， the observation group and the control group respectively adopted the evidence-based nursing intervention and routine nursing intervention， and the first labor course， total labor course， second labor course， vaginal spontaneous labor， Apgar score， neonatal body mass， neonatal distress rate and pathologic jaundice rate were compared between the two groups. Results The total labor course， second labor course， first labor course， vaginal spontaneous labor， Apgar score， neonatal body mass， neonatal distress rate and pathologic jaundice rate in the observation group were respectively （416.76±35.82）min， （30.39±2.41）min， （341.18±16.52）min， 63.33%， （9.85±0.86）marks， （2 865.15±156.25）g， 0.00% and 3.33%， which were better than those in the control group（P0.05）. Conclusion The evidence-based nursing in patients with premature rupture of fetal membranes can improve the pregnant outcome and improve the delivery safety. 　　[Key words] Evidence-based nursing； Premature rupture of fetal membranes； Effect 　　胎膜早破主要表现为产妇突感有较多液体从阴道流出，肛诊上推胎先露部，阴道流液增多，诱发因素较多，常见的为感染，羊膜腔压力增高、不均，创伤等，若干预不及时，可引起胎儿感染、脐带脱垂等现象，可严重影响母婴双方生命安全。为了确保分娩的顺利实施，改善妊娠结局，需加强护理干预[1]。而该次实验在2