重度子痫前期孕产妇护理中优质护理效果研究.docVIP

重度子痫前期孕产妇护理中优质护理效果研究 　　[摘要] 目的 探讨重度子痫前期孕产妇护理中优质护理的效果。 方法 选取本院2014年10月～ 2016年10月诊治的重度子痫前期孕产妇178例，采用随机数字表法分为两组，对照组患者89例实施常规护理，观察组患者89例实施优质护理，于治疗前后行炎症因子检测和心理状况评定，比较两组患者的妊娠结局和并发症情况。 结果 治疗后，两组患者C反应蛋白（CRP）、白介素-6（IL-6）、肿瘤坏死因子α（TNF-α）、前体N末端前脑利钠肽（NT-proBNP）、SAS评分、SDS评分降低（P0.05）。观察组患者CRP、IL-6、TNF-α、NT-proBNP、SAS评分、SDS评分、剖宫产率、产后出血发生率、HELLP综合征发生率、胎盘早剥发生率、早产儿发生率、胎儿窘迫发生率、新生儿低体重发生率、并发症发生率低于对照组（P0.05）。观察组新生儿Apgar评分高于对照组（P0.05）。 结论 优质护理可改善重度子痫前期孕产妇的心理状况和妊娠结局，安全性更高，值得临床推广使用。 　　[关键词] 重度子痫前期；优质护理；炎症因子；妊娠结局；并发症 　　[中图分类号] R473.71 [文献标识码] A [文章编号] 2095-0616（2017）20-120-04 　　Effect study of high quality nursing in pregnant women with severe pre eclampsia 　　ZHANG Li 　　The Second Peoples Hospital of Jiaozuo City， Jiaozuo 454000， China 　　[Abstract] Objective To investigate the effect of high quality nursing in pregnant women with severe pre eclampsia. Methods 178 pregnant women with severe pre eclampsia in our hospital from October 2014 to October 2016 were selected， and were divided into two groups by random number table method. 89 patients were treated with routine nursing as control group. 89 patients were treated with high quality nursing as observation group. Inflammatory factors and psychological status were assessed before and after treatment. Pregnancy outcomes and complication were compared between two groups. Results The CRP， IL-6， TNF-α， NT-proBNP， SAS score， SDS score in two groups decreased after treatment（P0.05）. The CRP， IL-6， TNF-α， NT-proBNP， SAS score， SDS score， cesarean section rate， incidence of postpartum hemorrhage， incidence of HELLP syndrome， placental abruption rate， premature birth rate， fetal distress rate， incidence of low birth weight in neonates， complication rate in observation group were lower than those in control group （P0.05）. The neonatal Apgar score in observation group was higher than that in control group （P0.05）. Conclusion High quality nursing can improve psychological status and pregnancy outcome of pregnant women with severe pre eclampsia， w