子宫畸形妊娠分娩期并发症的研究及护理效果分析

Research of complications of uterine malformation during pregnancy and delivery and analysis of nursing effect

目的分析子宫畸形妊娠分娩期并发症出现的原因以及护理对策。方法 86例子宫畸形产妇作为观察组,86例正常子宫产妇作为对照组,两组产妇均给予个体化护理服务,比较两组产妇的分娩方式、分娩期并发症发生率。结果观察组产妇的顺产率为39.53%,显著低于对照组的67.44%,差异具有统计学意义(P<0.05);观察组产妇的阴道助产率和剖宫产率分别为22.09%、38.37%,高于对照组的9.30%、23.26%,差异具有统计学意义(P<0.05)。观察组产妇胎膜早破、产后出血、产程延长和胎位异常发生率分别为33.72%、31.40%、37.21%、39.53%,均高于对照组的4.65%、5.81%、11.63%、9.30%,差异具有统计学意义(P<0.05)。结论子宫畸形产妇在妊娠分娩期并发症发生率较高,临床上应加强对分娩期的护理观察,及时发现子宫畸形,并及早采取有效的护理干预措施,改善母婴结局。

Objective To analyze causes of uterine malformation during pregnancy and delivery and nursing countermeasures. Methods There were 86 puerpera with uterine malformation as observation group and 86 puerpera with normal uterus as control group. Both groups received individualized nursing. Comparison was made on delivery ways and incidence of complications in delivery period between the two groups. Results The observation group had obviously lower eutocia rate as 39.53% than 67.44% in the control group, and the difference had statistical significance（P〈0.05）. The observation group had vaginal instrumental delivery rate and cesarean section rate respectively as 22.09% and 38.37%, which were higher than 9.30% and 23.26% in the control group, and the difference had statistical significance（P〈0.05）. The observation group had incidences of premature rupture of membranes, postpartum hemorrhage, prolonged labor, and abnormal fetal position respectively as 33.72%, 31.40%, 37.21% and 39.53%, which were all higher than 4.65%, 5.81%, 11.63% and 9.30% in the control group, and the difference had statistical significance（P〈0.05）. Conclusion Incidence of complications is high in puerpera with uterine malformation during pregnancy and delivery. Clinical enhancement of nursing and observation in delivery period can timely discover uterine malformation and provide early and effective nursing intervention measures, so as to improve maternal and infant outcome.