58例前置胎盘孕期阴道出血的护理

Nnursing for 58 Cases of Placenta Previa Vaginal Bleeding During Pregnancy

目的探讨前置胎盘孕期阴道出血患者的护理体会。方法以2010年10月到2012年2月本院收治的58例前置胎盘阴道出血住院患者作为研究对象,在期待疗法期间,给予相关的护理配合,包括加强环境护理,提高患者身心舒适度;严密监测;给予药物护理和加强夜间护理等。结果住院期间有7例发生持续性出血,给予速溶型医用生物蛋白胶封堵,2例中央性前置胎盘效果不佳,提前中止妊娠,其余患者均顺利分娩,母子平安。结论对于前置胎盘阴道出血患者住院期间的护理,要在保证严密监测和药物护理的基础上,提高患者的身心舒适度,改善患者情绪,并根据患者的发病类型和出血特点,给予有重点的监测和护理。

Objective To summarize the experience of nursing for placenta previa vaginal bleeding patients during pregnancy. Methods Fifty-eight cases of placenta previa vaginal bleeding hospitalized patients from December 2010 to February 2012 were selected as research subjects and received anticipation therapy. During the therapy, environmental nursing, close monitoring, pharmaceutical nursing and nighttime nursing were strengthened to improve patients＇ physical and psychological comfort. Results Seven cases had persistent bleeding during hospitalization, and they were treated with instant fibrin glue closure; two cases had ineffective central placenta previa and were treated with early termination of pregnancy; parturition went well in the remaining patients, with both mother and infant being healthy. Conclusions On the basis of close monitoring and drug treatment, improving patients＇ physical and psychological comfort, improving patients＇ emotions, and giving focused monitoring and nursing according to the types and features of bleeding are important for patients with placenta previa vaginal bleeding during hospitalization.