子宫畸形妊娠分析及保胎至分娩的护理

The analysis of abnormal uterine pregnancy and relevant care to full-term delivery

目的探讨子宫畸形妊娠的孕妇保胎成功至足月分娩的病例,了解子宫畸形的妊娠结局,总结相关护理对策,以更好的指导临床护理工作。方法选取2000～2008年在我科收治的子宫畸形妊娠的孕妇26例,再选取同期在我科保胎的28例正常妊娠孕妇作为对照,对其提供相应的护理对策,分析两组的妊娠结局。结果实验组与对照组的早期流产率、晚期流产率、及足月产率比较有显著性差异(P<0.05),而异位妊娠率比较两者无显著性差异(P>0.05)。结论子宫畸形对早晚期流产及足月产的影响大,在保胎过程中孕妇心理压力大,应及早诊断,加强监护。住院保胎过程中加强孕妇的心理、生活护理及做好病情观察,保证患者顺利度过妊娠期。

Objective： To explore the successful cases of abnormal uterine pregnancy of women which treated to full-term delivery. To understand the outcome of abnormal uterine pregnancy, summed up the relevant care and measures to better guide clinical care.Methods： 2000-2008 treated in our department of the abnormal uterine 26 cases of pregnant women, and then select the 28 cases of normal pregnancy as control in the same period, it provides the appropriate care measures, analysis the outcome.Results： The results of the experimental group and control group show that the rate of early abortion, late abortion, and full-term delivery was significantly different （P〈 0.05）, and the rate of ectopic pregnancy was no significant difference （P〉 0.05）. Conclusions：The impact of abnormal uterine on pregnancy was major. During the period of tocolysis, the Pregnant women bear psychological pressure, we should provide early diagnosis, intensive care, psychological care, life care, and observation, ensuring a smooth pregnancy.