护理干预在妊娠期胆汁淤积综合征患者中的应用

Application of nursing intervention in patients with pregnancy cholestasis syndrome

目的:探讨综合护理干预在妊娠期胆汁淤积综合征患者中的的临床应用价值。方法:选择2009年1月～2011年1月在我院进行分娩的82例妊娠期肝内胆汁淤积综合征患者,将35例在我院门诊筛查并入院确诊为妊娠期肝内胆汁淤积综合征,接受治疗,然后在我院分娩的患者作为治疗组,47例因未在我院进行产前检查,入院时诊断为妊娠期肝内胆汁淤积综合征但已临产或近临产未能接受治疗的为对照组,对照组采取常规护理,治疗组采用护理干预。比较两组患者的临床护理效果。结果:对照组新生儿窒息、羊水粪染、剖宫产比例明显高于治疗组(P<0.05);而两组早产、新生儿死亡、产后出血率比较差异无明显的统计学意义(P>0.05);治疗组ALT、AST、CG指标明显低于对照组(P<0.05)。结论:综合护理干预可以减少妊娠期胆汁淤积综合征患者的不良预后,值得临床推广应用。

Objective：To investigate clinical care effect of the comprehensive nursing intervention on intrahepatic cholestasis of pregnancy.Methods 35 patients with intrahepatic cholestasis of pregnancy were given comprehensive nursing intervention,while the control group were taken regular care intervention.The clinical care effect of two groups were compared.Results： The proportion of neonatal asphyxia,meconium-stained amniotic fluid,cesarean section in control group was significantly higher than the treatment group,the difference was statistically significant（P0.05）.The proportion of preterm birth,neonatal death,postpartum hemorrhage in two groups was no statistically significant（P0.05）.ALT,AST,CG in treatment group was significantly lower than the control group,the difference was statistically significant（P0.05）.Conclusion： The comprehensive care interventions can reduce poor prognosis of cholestasis of pregnancy,is worthy of clinical application.