妊娠合并子宫肌瘤患者围产期综合护理干预

Comprehensive nursing intervention of patients Pregnancy with hysteromyoma in perinatal

目的探讨综合护理措施对妊娠合并子宫肌瘤患者的效果。方法随机选取妊娠合并子宫肌瘤的102例患者为研究对象,作为观察组,选取同期正常住院的100例孕妇为对照组。对照组给予常规护理,观察组在常规治疗及护理的基础上,给予个体化心理辅导与健康教育、围产期的综合护理措施。结果 102例妊娠合并子宫肌瘤的患者中流产13例,占12.75%,早产或剖宫产79例,占77.45%,经阴道自然分娩23例,占22.55%。对照组发生胎盘早剥3例,前置胎盘2例,产后出血4例。观察组发生胎盘早剥1例,产后出血1例。观察组与对照组并发症发生情况、病情控制时间及住院时间方面比较,差异均具有统计学意义(P<0.05)。结论综合护理措施对妊娠合并子宫肌瘤患者能够取得显著的护理效果,可有效降低并发症发生。

Objective： To explore the effect of comprehensive nursing measures for pregnancy with hysteromyoma. Meth-ods： 102 pregnancy with hysteromyoma research objects were randomly selected as observation group, 100 cases of pregnantwomen as control group. The control group given routine nursing care, on the basis of routine treatment and nursing, observa-tion group were given individual counseling and health education and comprehensive perinatal nursing measures. Results：102 cases of pregnancy with hysteromyoma patients including 13 cases of abortion, accounted for 12.75% ,79 cases of prema-ture delivery or cesarean section account for 77.45%, 23 transvaginal natural birth cases account for 22. 55%. 3 cases of pla-cental abruption occurred among the control group,2 cases of placenta previa,4 cases of postpartum bleeding. Observationgroup and control group complications, disease control time and length of hospital stay, the differences were statistically sig-nificam （ P 〈 0. 05 ）. Conclusion ： The comprehensive nursing measures can achieve a significant nursing effect and effectivelyreduce the complications for the patients with pregnancy with hysteromyoma.