综合护理干预对凶险性前置胎盘患者妊娠结局的影响

Impact of comprehensive nursing on pregnancy outcomes in patients with dangerous placenta previa

目的探讨综合护理干预对凶险性前置胎盘患者妊娠结局的影响。方法选取本院收治的84例凶险性前置胎盘患者,根据随机数字表分为观察组及对照组各42例,对照组实施常规性护理干预,观察组实施孕晚期综合护理干预,比较2组产妇妊娠结局、并发症发生情况及满意度。结果观察组患者终止妊娠时孕周大于对照组(P<0.05),平均住院时间短于对照组(P<0.05),而产后出血量少于对照组(P<0.05),新生儿阿普加评分及产妇治疗满意度评分高于对照组(P<0.05);观察组产后大出血、产后贫血、新生儿窒息、产后感染及产后抑郁的发生率均低于对照组(P<0.05)。结论综合性护理干预能有效改善凶险性前置胎盘患者妊娠结局,减少母婴围产期并发症,提高产妇治疗满意度。

Objective To investigate the effect of comprehensive comprehensive nursing on pregnancy outcomes in patients with dangerous placenta previa. Methods A total of 84 patients with dangerous placenta previa were divided into observation group（ n = 42） and control group（ n = 42）.The control group received routine nursing intervention and observation group implemented comprehensive nursing intervention in late pregnancy. The pregnancy outcomes,incidence of complications and patients＇ satisfaction of two groups were compared. Results The observation group had longer terminated gestational week and shorter average length of stay,and less amount of postpartum hemorrhage（ P〈0. 05）. The neonatal Apgar score and treatment satisfaction score of observation group were higher than that in the control group（ P〈0. 05）. The incidences of postpartum hemorrhage,postpartum anemia,neonatal asphyxia,postpartum infection and postpartum depression of observation group were lower than that of the control group（ P〈0. 05）. Conclusion Comprehensive nursing intervention can effectively improve the pregnancy outcomes in patients with dangerous placenta previa,reduce perinatal complications and improve treatment satisfaction.