产科失血性休克危急重症患者的护理干预

Nursing Intervention for Critically Ill Patients with Obstetric Hemorrhagic Shock

目的探讨对产科失血性休克危急重症患者开展护理干预的临床效果。方法方便选取该院产科2015年1月—2017年1月收治的失血性休克危急重症患者32例设为对照组,采取常规护理;另选取该院产科2017年2月—2019年2月收治的患者30例设为观察组,组建抢救护理小组实施护理干预,比较两组干预效果。结果观察组抢救成功率为100.0%,明显高于对照组81.3%,差异有统计学意义(χ2=5.119 P<0.05);观察组子宫全切除率为10.0%,围产儿不良结局总发生率为20.0%,均明显低于对照组68.8%与37.5%,差异有统计学意义(χ2=12.892、5.410,P<0.05)。结论对产科失血性休克危急重症患者开展改良后护理干预抢救效果较好,值得推广。

Objective To investigate the clinical effect of nursing intervention in critically ill patients with obstetric hemorrhagic shock.Methods Convenient selected a total of 32 patients with severe hemorrhagic shock who were admitted to the hospital from January 2015 to January 2017 were enrolled as the control group.The patients were treated with routine nursing.The patients admitted to the hospital from February 2017 to February 2019 were selected.Thirty cases were set as observation group,and the rescue nursing team was set up to implement nursing intervention,and the intervention effects of the two groups were compared.Results The success rate of rescue in the observation group was 100.0%,which was significantly higher than that in the control group(81.3%).There was a statistically significant difference(χ2=5.119,P<0.05,).The total uterine resection rate was 10.0%in the observation group and 20.0%in the perinatal infants.Significantly lower than the control group 68.8%and 37.5%,there was a statistically significant difference(χ2=12.892,5.410,P<0.05).Conclusion The improved nursing intervention for patients with critically ill hemorrhagic shock is better and worth promoting.