子宫瘢痕妊娠再次剖宫产采用整体护理对预后影响探讨
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摘要
目的:探讨整体护理对子宫瘢痕妊娠再次剖宫产预后的影响。方法:选择某院产科近3年来收治的子宫瘢痕妊娠再次剖宫产产妇98例,以简单随机法分为对照组和观察组各49例,对照组采取常规护理,观察组在此基础上采取整体护理,对两组产妇预后效果进行观察比对。结果:两组均手术成功,无任何母婴死亡事件。观察组NRS评分、住院时间均低于对照组,且产后48h血清泌乳素、新生儿Apgar评分均高于对照组,P<0.05;观察组自主排尿率高于对照组,且并发症发生率低于对照组,P<0.05。结论:子宫瘢痕妊娠再次剖宫产产妇围术期采取整体护理可有效降低分娩风险和术后并发症,改善产妇预后效果,值得临床应用。
Objective: To explore the effect of holistic nursing on the prognosis of uterine scar pregnancy after re-cesarean section. Methods: 98 women with re-cesarean section of uterine scar pregnancy who had been admitted and treated in a hospital for nearly three years were selected and divided into control group and observation group by simple random method, with 49 cases in each group. The control group was given routine nursing, and the observation group received holistic nursing on the basis of the control group, the prognostic effects of the two groups were observed and compared. Results: The operation was successful in both groups without any maternal and infant deaths. The NRS score and hospitalization time of the observation group were lower than those of the control group, and the serum prolactin and Apgar score of neonates 48 h after delivery were higher than those of the control group, P<0.05. The rate of spontaneous urination in the observation group was higher than that in the control group, and the incidence of complications was lower than that in the control group, P<0.05. Conclusion: Holistic nursing during re-cesarean section of uterine scar pregnancy can effectively reduce the risk of delivery and postoperative complications, improve the outcome of maternal prognosis, and is worthy of clinical application.
Objective: To explore the effect of holistic nursing on the prognosis of uterine scar pregnancy after re-cesarean section. Methods: 98 women with re-cesarean section of uterine scar pregnancy who had been admitted and treated in a hospital for nearly three years were selected and divided into control group and observation group by simple random method, with 49 cases in each group. The control group was given routine nursing, and the observation group received holistic nursing on the basis of the control group, the prognostic effects of the two groups were observed and compared. Results: The operation was successful in both groups without any maternal and infant deaths. The NRS score and hospitalization time of the observation group were lower than those of the control group, and the serum prolactin and Apgar score of neonates 48 h after delivery were higher than those of the control group, P<0.05. The rate of spontaneous urination in the observation group was higher than that in the control group, and the incidence of complications was lower than that in the control group, P<0.05. Conclusion: Holistic nursing during re-cesarean section of uterine scar pregnancy can effectively reduce the risk of delivery and postoperative complications, improve the outcome of maternal prognosis, and is worthy of clinical application.
引文
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5 吴芳.剖宫产术后子宫瘢痕妊娠的护理措施分析.数理医药学杂志,2015,28(12):1878～1879.
6 王慧敏.整体护理对瘢痕子宫妊娠再次剖宫产母婴结局的影响.实用临床医学,2015,16(8):92.
2 中华医学会妇产科学分会计划生育学组.剖宫产术后子宫瘢痕妊娠诊治专家共识(2016).中华妇产科杂志,2016,51(8):5～9.
3 高万露,汪小海.患者疼痛评分法的术前选择及术后疼痛评估的效果分析.实用医学杂志,2013,29(23):3892～3894.
4 江华容.瘢痕子宫妊娠再次剖宫产实施整体护理对母婴结局的影响.数理医药学杂志,2016,29(3):448～449.
5 吴芳.剖宫产术后子宫瘢痕妊娠的护理措施分析.数理医药学杂志,2015,28(12):1878～1879.
6 王慧敏.整体护理对瘢痕子宫妊娠再次剖宫产母婴结局的影响.实用临床医学,2015,16(8):92.