口服地屈孕酮治疗不明原因复发性自然流产护理分析

Nursing analysis of oral progesterone in treatment of unexplained recurrent spontaneous abortion

目的分析护理措施对口服地屈孕酮治疗不明原因复发性自然流产的效果影响。方法选取2012年1月至2014年12月我院收治的80例不明原因复发性自然流产孕妇为研究对象,均给予口服地屈孕酮治疗,随机分为对照组和观察组各40例。对照组给予常规护理,观察组在对照组基础上给予护理干预措施。对比分析两组临床效果(妊娠成功率、新生儿活产率及妊娠结局),药物不良反应发生率与护理满意度。结果观察组妊娠成功率、新生儿活产率、新生儿Apgar评分高于对照组(P<0.05),产后出血量少于对照组(P<0.05)。观察组恶心呕吐等发生率为2.5%,低于对照组17.5%,差异具有统计学意义(P<0.05)。观察组护理满意度为92.5%(37/40),对照组为75.0%(30/40),观察组高于对照组(P<0.05)。结论对于口服地屈孕酮治疗不明原因复发性自然流产患者,加强其用药、心理及生活护理有助于提高治疗效果,避免不良反应发生。

Objective To analyze the effect of nursing intervention on the treatment of unexplained recurrent spontaneous abortion with oral progesterone.Methods Eighty cases of patients who were given oral progesterone in treatment of unexplained recurrent spontaneous abortion pregnant women in our hospital from January 2012 to December 2014 were selected and randomly divided into two groups,with 40 cases in each group.Patients in the control group were treated with routine nursing care while patients in the observation group were given nursing intervention based on the routine nursing care in the control group.The clinical effect of the two groups（pregnancy success rate,neonatal live birth rate and pregnancy outcome）,the incidence of adverse drug reactions and nursing satisfaction were compared and analyzed.Results The success rate of pregnancy,neonatal live birth rate and the scores of neonatal Apgar in the observation group were significantly higher than those in the control group（P0.05）and the postpartum hemorrhage volume was significantly less than that of the control group（P0.05）.The incidence of nausea and vomiting in the observation group was 2.5%,and the difference was statistically significant（P0.05）compared with 17.5%in the control group.The nursing satisfaction in the observation group was92.5%（37/40）while that was 75%（30/40）in the control group.The nursing satisfaction in the observation group was significantly higher than that of the control group（P0.05）.Conclusion For unexplained recurrent spontaneous abortion patients treated with oral progesterone therapy,it is helpful to strengthen its medication,psychological and life care in order to improve the treatment effect and avoid adverse reactions occurs.