循证护理在未足月胎膜早破产妇中的应用

Application of evidence-based nursing in parturients with premature rupture of the membranes

目的：观察循证护理在未足月胎膜早破期的临床效果，探讨其临床应用价值。方法将60例未足月胎膜早破产妇采用随机数字表法分为观察组及对照组，每组各30例，对照组给予常规护理，观察组采用循证护理方法实施护理干预，对两组产妇和新生儿围生期情况进行比较。结果观察组产妇的产后出血量为（376．5±83．9）ml，感染率为3．3％，明显低于对照组产后出血量（456．9±76．3）ml，及感染率10．0％，两组比较差异有统计学意义（t/χ2分别为2．96，4．52；P＜0．05）。观察组新生儿Apgar评分为（9．4±0．3）分，呼吸窘迫综合征的发生率为6．6％，对照组新生儿Apgar评分为（8．1±0．5）分，呼吸窘迫综合征发生率为16．7％，两组比较差异有统计学意义（t/χ2分别为2．37，4．16；P＜0．05）。结论循证护理能有效延长产妇孕龄，降低产妇感染率，改善存活儿的预后，对缩短治疗时间，促进患者的康复有重要意义。

Objective To observe the clinical effect of evidence-based nursing on premature rupture of the membranes , and to explore its clinical application value .Methods Sixty parturient with premature rupture of the membranes were randomly divided into the observation group and the control group according to the random number table , each with 30 cases.The control group received the conventional nursing , and the observation group received the nursing intervention according to the evidence -based nursing , and the situation of parturients and neonatal in perinatal period were compared between two groups .Results The amount of postpartum hemorrhage in the observation groups was （376.5 ±83.9） ml, and was significantly lower than （456.9 ±76.3） ml in the control group, and the difference was statistically significant （t=2.96, P〈0.05）. The infection rate was 3.3% in the observation group, and was significantly lower than 10.0% in the control group, and the difference was statistically significant （χ2 =4.52, P〈0.05）.The Apgar score in neonatal was＆nbsp;（9.4 ±0.3 ） in the observation group , and was （ 8.1 ±0.5 ） in the control group , and the difference was statistically significant （ t=2.37, P〈0.05） .The incidence rate of respiratory distress syndrome was 6.6%in the observation group, and was 16.7%in the control, and the difference was statistically significant （χ2 =4.16, P〈0.05）.Conclusions The evidence-based nursing can effectively prolong the age of parturients , reduce the rate of infection in parturients , and improve the prognosis of infants living .The evidence-based nursing plays the important role in shortening the treatment time and promoting the rehabilitation of patients .