中晚期前置胎盘患者有效护理对预防产后大出血的影响

The effect of effective nursing care on the prevention the postpartum hemorrhagefor patients with advanced placenta previa ]

目的探讨中晚期前置胎盘患者有效护理对预防产后大出血的影响。方法将我院2008年1月至2012年8月收治的124例患者按护理方法不同，分为护理组68例与对照组56例，对照组给予基础护理，护理组在对照组基础上给予综合护理，比较两组患者产后大出血发生率和产后2h及24h出血量。结果护理组产后大出血发生5（7．35％）例，对照组发生13（23．21％）例，两组比较，差异有统计学意义（P〈0．05）；护理组产后2h及产后24h出血量明显低于对照组，且差异有统计学意义（P〈0．05）。两组发生18例产后大出血患者，4例予以子宫全切术治疗，其余14例患者予以产后出血保守治疗，未出现死亡病例。结论有效护理干预能降低孕妇焦虑、紧张情绪；合理预防感染，减少刺激等，可有效降低中晚期前置胎盘患者产后大出血发生率。

Objective To explore the effect of effective nursing care on the prevention the postpartum hemorrhage for patients with advanced placenta previa. Methods In our hospital 124 patients who hospitalized from 2008 Jan. to 2012 Aug. were divided into nursing group with 68 cases and control group with 56 cases. Control group adopted basic nursing care, and nursing group adopted comprehensive nursing. The occurrence rate of the postpartum hemorrhage and the amount of postpartum bleeding 2 hours and 24 hours. Results In obser- vation group 5 （7.35 % ） cases occurred postpartum hemorrhage and 13 （23.21% ） cases in control group. The difference was significantly （ P 〈 O. 05 ）. The amount of postpartum bleeding 2 hours and 24 hours in observation was fewer than that in control group. Conclusions Ef- fective nursing intervention can reduce maternal anxiety, tension, reasonably prevent infection, reduce stimulation, effectively reduce the ad- vanced placenta previa in maternal postpartum hemorrhage incidence.