低分子肝素钙联合心理干预治疗复发性流产的临床效果分析

Clinical analysis of low molecular weight heparin calcium combined with psychological intervention in treatment of recurrent spontaneous abortion

目的探究低分子肝素钙联合心理干预治疗复发性流产的临床效果。方法选择在2016年10月～2017年6月期间,在浙江省温州市中医院进行复发性流产治疗后再次妊娠的患者60例,并且随机将这些患者分为2组,分别是对照组和观察组,每组30例。首先对2组患者均采用低分子肝素钙进行治疗,然后对照组患者选择以往最常使用的护理方法进行护理操作,观察组患者则选择使用针对性比较强的心理干预的护理方式进行护理工作,观察并比较2组患者的临床效果。结果 2组患者的活产率、抗磷脂抗体（ACA）清除率、及足月产率比较差异无统计学意义;观察组患者的不良反应率为10.00%,对照组患者的不良反应率为26.67%,观察组患者的不良反应率明显低于对照组相应数值,2组比较差异具有统计学意义（P〈0.05）。结论对复发性流产治疗后再次妊娠的患者采用针对性比较强的心理干预的护理方式进行护理工作,相比于常规的护理方法效果更好,同时有效降低低分子肝素钙治疗复发性流产的不良反应发生率,所以心理干预的护理方式在临床上是一种值得使用并将其推广的治疗方法。

Objective To explore the clinical effect of low molecular weight heparin calcium combined with psychological intervention in the treatment of recurrent spontaneous abortion.Methods 60 patients were treated with recurrent miscarriage after treatment in our hospital from October 2016 to June 2017,and these patients were randomly divided into two groups：control group and observation group.Each group of 30 cases.First of all,the two groups of patients were treated with low molecular weight heparin calcium,and then the control group of patients to choose the most commonly used care methods for nursing operations,the observation group of patients choose to use more targeted psychological intervention care for nursing work.The clinical effects of the two groups were observed and compared.Results There was no significant difference between the two groups.The adverse reaction rate was 10.00% in the observation group and the control group The adverse reaction rate was 26.67%.The adverse reaction rate of the observation group was significantly lower than that of the control group.The difference between the two groups was statistically significant（P〈0.05）.Conclusion Recurrence of recurrent miscarriage after treatment of patients with more targeted psychological intervention in nursing care,compared to conventional care methods better,while effectively reducing the low molecular weight heparin calcium treatment of recurrent miscarriage of adverse reactions.The incidence of psychological intervention in the care of the clinical way is a worthy of use and to promote the treatment.