前置胎盘72例期待疗法的护理干预效果观察(1)
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2010年3月15日
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[摘要] 目的:观察护理干预在前置胎盘期待疗法中的临床效果,为临床上广泛应用提供客观依据。方法:将72例前置胎盘期待疗法患者随机分为两组:干预组(38例)除了给予常规的基础护理外,还采用心理疗法、营养护理、健康教育疏导、病情观察、药物治疗、产时及产后护理等,对照组(34例)只采用基础护理。比较干预组和对照组患者在妊娠结局治疗效果的差异。结果:干预组的治疗效果明显优于对照组,干预组患者及新生儿的状况都优于对照组。两组差异有统计学意义(P<0.05)。结论:护理干预在前置胎盘期待疗法的治疗过程中效果显著,获得了患者的满意,值得在临床上广泛应用。
[关键词] 前置胎盘;期待疗法;护理干预
[中图分类号] R714.2 [文献标识码]C [文章编号]1674-4721(2010)03(b)-078-02
72 cases of placenta previa looking forward to therapy Effects of nursing intervention
ZHENG Biyu
(Department of Nursing,Hongmei Hospital of Dongguan City,Guangdong Province,Dongguan 523000, China)
[Abstract] Objective: To observe the nursing intervention in placenta praevia look forward to the clinical effects of therapy for clinical provide an objective basis for a wider application. Methods: 72 cases of placenta previa looking forward to therapy were randomly divided into two groups: the intervention group (38 cases) In addition to providing routine primary care, but also the use of psychological therapy, nutrition care, health education and persuasion, the condition observation, medical treatment, production during and post-natal care in the control group (34 cases) using only primary care. Then thedifferences intervention and control groups in the pregnancy outcome in patients with treatment were compared. Results: The intervention group was significantly better than the therapeutic effect of the control group, intervention group patients and newborn conditions were better than the control group. The difference was statistically significant (P<0.05). Conclusion: The nursing intervention therapy in the treatment of placenta previa during the expected results are obvious, access to the patient's satisfaction, should be widely used in clinical practice.
[Key words] Placenta previa;Looking forward to treatment;Nursing intervention
正常胎盘附着于子宫体部的后壁、前壁和侧壁。前置胎盘是指胎盘附着于子宫下段,部分或全部覆盖于子宫颈内口,位置低于胎先露部。国内文献报道表明前置胎盘的发病率为0.24%～1.57%[1],它是一种危险的病理性妊娠和妊娠后期的严重并发症。其临床症状为妊娠晚期无诱因、无痛性反复阴道流血,对母体和婴儿有很大的危害。目前临床上尚缺乏有效的治疗方法,所以护理干预在前置胎盘期待疗法的治疗过程中尤为重要。该研究对某医院72例前置胎盘期待疗法患者进行了观察及结果分析。
1 资料与方法
1.1 一般资料
2008～2009年某医院收诊的7 560例孕妇中前置胎盘患者72例,所占比例为0 ......
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