产科围手术期子痫前期急性肺水肿的临床干预探讨

Clinical Intervention of Obstetric Perioperative Preeclampsia Acute Pulmonary Edema

目的:分析干预措施在产科围手术期子痫前期急性肺水肿中的效果。方法我院产科2010年1月~2013年1月收治的子痫前期产妇64例,随机分成对照组和实验组,全部患者行剖宫产手术,对照组常规监护和治疗,实验组在此基础上给予解痉、利尿治疗。观察患者临床指标和急性肺水肿发生率。结果实验组的血样饱和度和每小时尿量均要高于对照组,心率、平均脉压、呼吸频率要低于对照组,差异有统计学意义(P<0.05);对照组急性肺水肿发生率为15.6%,实验组急性肺水肿发生率为3.1%。结论在产科围手术期给予解痉和利尿干预,能够改善患者的各项临床指标,降低子痫前期肺水肿的发生率,临床中值得进一步推广。

Objective:to analyze interventions in obstetrics perioperative preeclampsia ef ect of acute pulmonary edema.Methods:64 cases our hospital obstetrics in January 2010-January 2013 preeclampsia women have been randomly divided into control group and experimental group,al patients with cesarean section operation,the control group,routine monitoring and treatment,the experimental group on the basis of the given spasmolysis,diuretic therapy.The clinical indicators and incidence of acute pulmonary edema were observed.Results:the blood saturation and urine output per hour is higher than the control group,the average heart rate,pulse pressure,breathing rate is lower than the control group,the dif erence was statistical y significant(p<0.05);the incidence of acute pulmonary edema of control group was 15.6%,the incidence of acute pulmonary edema was 3.1%.Conclusion:in obstetrics perioperative spasmolysis and diuretic intervention,it can improve the patient's clinical indicators,reduce the incidence of preeclampsia pulmonary edema,it is worthy in further promotion in clinical.