预见性护理对早发型重度子痫前期患者母婴结局及生存质量的影响.docVIP

预见性护理对早发型重度子痫前期患者母婴结局及生存质量的影响 　　[摘要] 目的 探究?c分析预见性护理对早发型重度子痫前期患者母婴结局及生存质量的影响。 方法 选取中国医科大学附属第一医院2014年6月～2016年6月收治的90例早发型重度子痫前期患者，采取随机数字表法分为对照组与观察组，每组各45例。对照组仅给予常规护理，观察组在对照组基础上实施预见性护理，对比两组母婴结局及生存质量。 结果 与对照组相比，观察组弥漫性血管内凝血、产后大出血、肝肾功能损害、心功能衰竭、胎盘早剥发生率均降低，差异有统计学意义（P 0.05）。与对照组相比，观察组顺产率高、剖宫产率低、分娩时间短、1min新生儿Apgar评分高、新生儿窒息发生率低，差异有统计学意义（P 0.05）。与对照组相比，观察组总体健康、生理功能、生理职能、躯体疼痛、活力、社会功能、情感职能及情感健康评分较高，差异有统计学意义（P 0.05）。 结论 预见性护理应用于早发型重度子痫前期患者中可改善母婴结局，提高生存质量。 　　[关键词] 预见性护理；早发型重度子痫；母婴结局；生存质量 　　[中图分类号] R47 [文献标识码] A [文章编号] 1673-7210（2017）06（a）-0159-04 　　Predictive care and outcomes in patients with early hairstyle severe preeclampsia and the influence of the quality of life 　　ZHU Hong MENG Tao LIU Peiyan 　　Department of Obstetrics， the First Hospital of China Medical University， Liaoning Province， Shenyang 110001， China 　　[Abstract] Objective To explore and analyze the influence about the life quality and mother and fetus outcome of the predictive care treated in patients with early onset severe pre-eclampsia. Methods From June 2014 to June 2016， 90 cases with early onset severe pre-eclampsia treated in the First Hospital of China Medical University were selected. All the patients divided into the observational group and the control group according to the random number table， with 45 cases in each group. The control group was given to routine care， the observation group was implemented predictive care based on the control group. The maternal and infant outcomes and life quality of two groups were compared. Results The incidence rates disseminated intravascular coagulation， postpartum hemorrhage， liver and kidney function damage， heart failure， placental abruption of the observation group were decreased than those of the control group， with statistically significant difference （P 0.05）. The eutocia rate and 1 min neonatal Apgar score in the observation group were increased， the cesarean delivery rate， delivery time and neonatal asphyxia incidence in the observation group were