输卵管妊娠伴失血性休克的临床观察与护理(1)
[摘要] 目的 探讨综合护理在输卵管妊娠伴失血性休克患者治疗中的应用效果。 方法 对本院42例采用综合护理模式的输卵管妊娠伴失血性休克患者的临床及护理资料进行回顾性分析，并与采用传统护理模式的38例患者进行对比，比较两种护理方法的临床效果、护理满意度。 结果 经积极抢救和护理，综合护理组治愈28例，有效13例，无效1例，总有效率为97.62%，而传统护理组则治愈10例，有效21例，无效7例，总有效率为81.58%，综合护理组的总有效率明显高于传统护理组(χ2=9.568，P<0.05)；综合护理组的护理满意率为100.00%，显著高于传统护理组的86.84%(P<0.05)。 结论 综合护理措施能够有效改善输卵管妊娠伴失血性休克患者的病情，促进其康复，其效果显著优于传统护理措施，具有非常重要的临床意义。
[关键词] 输卵管妊娠；失血性休克；护理
[中图分类号] R473.71 [文献标识码] A [文章编号] 1674-4721(2015)01(b)-0165-04
Clinical observation and nursing of tubal pregnancy complicated with hemorrhagic shock
LI Yun-si
Huaiji Maternal and Child Health Hospital of Guangdong Province，Huaiji 626400，China
[Abstract] Objective To investigate the application effect of comprehensive nursing in treatment of patients with tubal pregnancy complicated with hemorrhagic shock. Methods Nursing and clinical data of 42 cases with ectopic pregnancy complicated with hemorrhagic shock given the comprehensive nursing model in our hospital were retrospectively analyzed and 38 patients given the traditional nursing model were compared with the comprehensive nursing group，the clinical effect and satisfaction degree of nursing in the two kinds of nursing method was compared. Results After actively rescue and care，28 cases were cured，13 cases were effective，1 case was ineffective，and the total effective rate in the comprehensive nursing group was 97.62%，while 10 cases were cured，21 cases were effective，7 cases were ineffective，and the total effective rate in the traditional nursing group was 81.58%，and the total effective rate of the comprehensive nursing group was higher than that in the traditional nursing group (P<0.05).The satisfaction rate of nursing in the comprehensive nursing group (100.00%) was higher than that in the traditional nursing group (86.84%) (P<0.05). Conclusion The comprehensive nursing measures can effectively improve the illness of patients with tubal pregnancy complicated with hemorrhagic shock and promote the rehabilitation of them.Its effect was significantly better than the traditional nursing measures，which has an important clinical significance.
[Key words] Tubal pregnancy；Hemorrhagic shock；Nursing
输卵管妊娠是指受精卵着床于输卵管，而非子宫腔内，是异位妊娠最常见的类型，为妇产科急腹症中的常见情况。发病与输卵管手术、宫内节育器放置、输卵管炎症、输卵管发育不良或功能异常等有关[1]。一旦出现急性输卵管妊娠流产或者破裂时，会引起腹腔内严重大出血，如再伴发失血性休克，会严重威胁患者的生命安全，甚至造成孕产妇的死亡，临床发病率为1%～3%[2]。为进一步探讨临床治疗护理措施对输卵管妊娠伴失血性休克患者的效果，现对本院妇产科收治的80例输卵管妊娠伴失血性休克患者进行临床观察及护理，现报道如下。
1 资料与方法
1.1 一般资料 (李芸思)
[关键词] 输卵管妊娠；失血性休克；护理
[中图分类号] R473.71 [文献标识码] A [文章编号] 1674-4721(2015)01(b)-0165-04
Clinical observation and nursing of tubal pregnancy complicated with hemorrhagic shock
LI Yun-si
Huaiji Maternal and Child Health Hospital of Guangdong Province，Huaiji 626400，China
[Abstract] Objective To investigate the application effect of comprehensive nursing in treatment of patients with tubal pregnancy complicated with hemorrhagic shock. Methods Nursing and clinical data of 42 cases with ectopic pregnancy complicated with hemorrhagic shock given the comprehensive nursing model in our hospital were retrospectively analyzed and 38 patients given the traditional nursing model were compared with the comprehensive nursing group，the clinical effect and satisfaction degree of nursing in the two kinds of nursing method was compared. Results After actively rescue and care，28 cases were cured，13 cases were effective，1 case was ineffective，and the total effective rate in the comprehensive nursing group was 97.62%，while 10 cases were cured，21 cases were effective，7 cases were ineffective，and the total effective rate in the traditional nursing group was 81.58%，and the total effective rate of the comprehensive nursing group was higher than that in the traditional nursing group (P<0.05).The satisfaction rate of nursing in the comprehensive nursing group (100.00%) was higher than that in the traditional nursing group (86.84%) (P<0.05). Conclusion The comprehensive nursing measures can effectively improve the illness of patients with tubal pregnancy complicated with hemorrhagic shock and promote the rehabilitation of them.Its effect was significantly better than the traditional nursing measures，which has an important clinical significance.
[Key words] Tubal pregnancy；Hemorrhagic shock；Nursing
输卵管妊娠是指受精卵着床于输卵管，而非子宫腔内，是异位妊娠最常见的类型，为妇产科急腹症中的常见情况。发病与输卵管手术、宫内节育器放置、输卵管炎症、输卵管发育不良或功能异常等有关[1]。一旦出现急性输卵管妊娠流产或者破裂时，会引起腹腔内严重大出血，如再伴发失血性休克，会严重威胁患者的生命安全，甚至造成孕产妇的死亡，临床发病率为1%～3%[2]。为进一步探讨临床治疗护理措施对输卵管妊娠伴失血性休克患者的效果，现对本院妇产科收治的80例输卵管妊娠伴失血性休克患者进行临床观察及护理，现报道如下。
1 资料与方法
1.1 一般资料 (李芸思)