产妇胎膜早破后新生儿感染的护理干预效果分析
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摘要
目的分析产妇胎膜早破发生新生儿感染的有效综合护理干预效果。方法收集产科2017年1月至2018年1月住院分娩的胎膜早破产妇400例,根据随机数字表法随机分为观察组和对照组,每组200例。对照组产妇给予常规护理,观察组在常规护理基础上给予有效综合护理干预。比较2组产妇生产方式、宫内感染情况、产褥期感染率以及新生儿结局。结果观察组自然分娩率为68.50%高于对照组的54.00%,差异有统计学意义(P<0.05);观察组产妇总感染率为26.00%低于对照组的39.50%,差异有统计学意义(P<0.05);观察组新生儿Apgar评分为(9.08±0.44)分高于对照组的(8.26±0.68)分,体重为(3.45±0.48)kg大于对照组的(2.43±0.34)kg,新生儿感染率、胎儿窘迫率和新生儿窒息率分别为22.50%、11.00%和2.50%低于对照组的32.73%、20.00%和8.00%,差异均有统计学意义(P<0.05)。结论胎膜早破产妇进行有效综合护理干预,可增加产妇自然分娩率,降低产妇及新生儿感染率,改善母婴结局。
Objective To investigate the effects of comprehensive nursing intervention on neonatal infection in puerpera with premature rupture of membranes.Methods A total of 400 puerpera with premature rupture of membranes who were admitted and treated in our hospital from January 2017 to January 2018 were enrolled in the study,who were divided into observation group(n=200) and control group(n=200) according to random number table method.The puerpera in control group received routine nursing,however,the puerpera in observation group,on the basis of control group, received effective comprehensive nursing intervention.The maternal delivery modes,intrauterine infection rate,puerperal infection rate and neonatal outcomes were observed and compared between the two groups.Results The natural delivery rate in observation group was 68.50%,which was significantly higher than that(54.00%) in control group(P<0.05). The overall infection rate in observation group was significantly lower than that in control group(26.00% vs 39.50%, P<0.05).The Apgar scores of neonates in observation group were higher than those in control group [(9.08±0.44) points vs(8.26±0.68) points],and the body weight of neonates in observation group was higher than that in control group [(3.45±0.48)kg vs(2.43±0.34)kg],and the neonatal infection rate,fetal distress rate and neonatal asphyxia rate in observation group were 22.50%,11.00%, 2.50%,respectively,which were significantly lower than those(32.73%, 20.00%, 8.00%,respectively) in control group(P<0.05).Conclusion The effective comprehensive nursing intervention for puerpera with premature rupture of membranes can increase the natural delivery rate,reduce the maternal and neonatal infection rates, improve the maternal-infant outcomes.
Objective To investigate the effects of comprehensive nursing intervention on neonatal infection in puerpera with premature rupture of membranes.Methods A total of 400 puerpera with premature rupture of membranes who were admitted and treated in our hospital from January 2017 to January 2018 were enrolled in the study,who were divided into observation group(n=200) and control group(n=200) according to random number table method.The puerpera in control group received routine nursing,however,the puerpera in observation group,on the basis of control group, received effective comprehensive nursing intervention.The maternal delivery modes,intrauterine infection rate,puerperal infection rate and neonatal outcomes were observed and compared between the two groups.Results The natural delivery rate in observation group was 68.50%,which was significantly higher than that(54.00%) in control group(P<0.05). The overall infection rate in observation group was significantly lower than that in control group(26.00% vs 39.50%, P<0.05).The Apgar scores of neonates in observation group were higher than those in control group [(9.08±0.44) points vs(8.26±0.68) points],and the body weight of neonates in observation group was higher than that in control group [(3.45±0.48)kg vs(2.43±0.34)kg],and the neonatal infection rate,fetal distress rate and neonatal asphyxia rate in observation group were 22.50%,11.00%, 2.50%,respectively,which were significantly lower than those(32.73%, 20.00%, 8.00%,respectively) in control group(P<0.05).Conclusion The effective comprehensive nursing intervention for puerpera with premature rupture of membranes can increase the natural delivery rate,reduce the maternal and neonatal infection rates, improve the maternal-infant outcomes.
引文
1 罗健英,卢红艳,高鹰.198例早产胎膜早破的临床分析.中国妇幼保健,2016,31:2335-2338.
2 韩颖辉.产科护理干预对胎膜早破产妇的应用效果探讨.临床检验杂志(电子版),2017,6:300-301.
3 齐春莉.胎膜早破护理要点分析及对产妇的影响观察.河北医学,2013,19:1255-1257.
4 王洁,曹志华,叶燕燕,等.护理干预用于产妇胎膜早破临床预防感染的效果评价.中华医院感染学杂志,2016,26:1124-1125.
5 田晓利,黄丽芬,程雅洁,等.胎膜早破引起新生儿感染的病原菌分析.中华医院感染学杂志,2014,24:3064-3066.
6 丰有吉,沈铿主编.妇产科学.第3版.北京:人民卫生出版社,2010.749-753.
7 李雯,常颖,李星,等.基质金属蛋白酶降解胞外基质致未足月胎膜早破研究进展.国际妇产科学杂志,2016,43:8-10.
8 杨雪梅,尚丽新.胎膜早破危险因素及其对妊娠结局的影响.武警医学,2017,28:332-336.
9 鄢碧玉,李永文,朱小凤,等.孕妇胎膜早破与新生儿感染的临床分析及抗菌药物应用.中华医院感染学杂志,2014,24:3335-3337.
10 刘柳柳,顾宁,王志群,等.未足月胎膜早破胎膜细菌培养及药敏结果分析.检验医学与临床,2014,11:2989-2991.
11 冯秀敏.不同时限分娩对胎膜早破患者分娩结局和新生儿的影响.医学综述,2016,22:4782-4784.
12 戴森戈,关飞云,张文淼,等.胎膜早破与生殖道感染的相关性探讨.中国计划生育学杂志,2016,24:46-49.
13 赵一衡.综合护理干预对胎膜早破产妇宫内感染及新生儿结局的影响.中西医结合心血管病电子杂志,2016,4:22-24.
14 杨磊.早产胎膜早破95例妊娠结局的临床分析.实用妇产科杂志,2017,33:458-460.
15 吴璠,华绍芳,李月琴.早产胎膜早破患者发生新生儿宫内感染性肺炎的相关因素分析.中国妇幼保健,2016,31:4472-4475.
16 何月梅.胎膜早破残余羊水量与妊娠结局的相关性研究.河北医学,2012,18:1620-1622.
17 马清杰,张小伟,关家华,等.心理护理对胎膜早破产妇分娩方式和焦虑心理影响研究.河北医学,2014,20:1552-1554.
18 杨金芳.早产胎膜早破感染监测和护理剖析.现代诊断与治疗,2015,26:5740-5741.
2 韩颖辉.产科护理干预对胎膜早破产妇的应用效果探讨.临床检验杂志(电子版),2017,6:300-301.
3 齐春莉.胎膜早破护理要点分析及对产妇的影响观察.河北医学,2013,19:1255-1257.
4 王洁,曹志华,叶燕燕,等.护理干预用于产妇胎膜早破临床预防感染的效果评价.中华医院感染学杂志,2016,26:1124-1125.
5 田晓利,黄丽芬,程雅洁,等.胎膜早破引起新生儿感染的病原菌分析.中华医院感染学杂志,2014,24:3064-3066.
6 丰有吉,沈铿主编.妇产科学.第3版.北京:人民卫生出版社,2010.749-753.
7 李雯,常颖,李星,等.基质金属蛋白酶降解胞外基质致未足月胎膜早破研究进展.国际妇产科学杂志,2016,43:8-10.
8 杨雪梅,尚丽新.胎膜早破危险因素及其对妊娠结局的影响.武警医学,2017,28:332-336.
9 鄢碧玉,李永文,朱小凤,等.孕妇胎膜早破与新生儿感染的临床分析及抗菌药物应用.中华医院感染学杂志,2014,24:3335-3337.
10 刘柳柳,顾宁,王志群,等.未足月胎膜早破胎膜细菌培养及药敏结果分析.检验医学与临床,2014,11:2989-2991.
11 冯秀敏.不同时限分娩对胎膜早破患者分娩结局和新生儿的影响.医学综述,2016,22:4782-4784.
12 戴森戈,关飞云,张文淼,等.胎膜早破与生殖道感染的相关性探讨.中国计划生育学杂志,2016,24:46-49.
13 赵一衡.综合护理干预对胎膜早破产妇宫内感染及新生儿结局的影响.中西医结合心血管病电子杂志,2016,4:22-24.
14 杨磊.早产胎膜早破95例妊娠结局的临床分析.实用妇产科杂志,2017,33:458-460.
15 吴璠,华绍芳,李月琴.早产胎膜早破患者发生新生儿宫内感染性肺炎的相关因素分析.中国妇幼保健,2016,31:4472-4475.
16 何月梅.胎膜早破残余羊水量与妊娠结局的相关性研究.河北医学,2012,18:1620-1622.
17 马清杰,张小伟,关家华,等.心理护理对胎膜早破产妇分娩方式和焦虑心理影响研究.河北医学,2014,20:1552-1554.
18 杨金芳.早产胎膜早破感染监测和护理剖析.现代诊断与治疗,2015,26:5740-5741.