分析孕中期高危胎儿发育畸形筛查/引产期间的个体化研究

Individualized management study on screening and induction of fetal developmental malformations at high risk in the midtrimester

目的探讨个体化管理在孕中期高危胎儿发育畸形筛查/引产期间的应用效果。方法选取2018年2月~2019年9月于本院进行高危胎儿畸形筛查孕中期患者94例,随机分为2组,观察组48例,对照组46例,2组均接受常规治疗,观察组在对照组基础上接受个体化管理。对比2组管理前后焦虑状态量表(SAS)评分、抑郁自评量表(SDS)评分、舒适度和引产并发症发生情况。结果管理后2组SAS、SDS评分均降低(P<0.05),且观察组均低于对照组(P<0.05);管理后2组舒适度均提高(P<0.05),且观察组高于对照组(P<0.05);观察组引产并发症总发生率显著低于对照组(P<0.05)。结论个体化管理可有效提高孕中期高危胎儿发育畸形筛查患者舒适度,缓解患者焦虑情绪,减轻患者抑郁程度,降低引产患者并发症发生率,值得临床应用。

Objective:To explore the effect of individualized management in screening and induced labor of fetal developmental malformations at high risk in the midtrimester.Methods:The 94 cases from February 2018 to September 2019 in our hospital were selected as the research object.Part of the result of screening for fetal malformation of midtrimester patients was high-risk fetus.Then all the research subjects were randomly divided into two groups,one group were 48 cases,and control group were 46 cases.Two groups were received routine nursing care,and observation group received individualized management on the basis of in the control group.The anxiety status scale(SAS)scores,depression self-rating scale(SDS)scores,the comfort levels and induced labour complications before and after management were compared in the two groups.Results:After management,SAS and SDS scores in both groups were decreased(P<0.05),and the observation group was lower than the control group(P<0.05).The comfort level of both groups increased after management(P<0.05),and the observation group was higher than the control group(P<0.05).The incidence of induced labour complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusion:Individualized management can effectively improve the comfort level of the patients during the screening period and the during the induction of labor for the fetuses with developmental malformations,relieve the anxiety of the patients,reduce the degree of depression of the patients,and reduce the incidence of complications in the patients with induced labor,which is worthy of clinical application.