优质护理在难治性产后出血介入治疗中应用效果临床研究

A Clinical Study on the Effect of High Quality Nursing in the Interventional Treatment of Intractable Postpartum Hemorrhage

目的探讨对经导管动脉栓塞(TAE)介入治疗难治性产后出血产妇实施优质护理的临床效果。方法选取2007年7月—2017年12月我科进行经导管动脉栓塞(TAE)介入治疗的难治性产后出血产妇100例作为研究对象。将其随机分为研究组(50例)与对照组(50例)。研究组实施优质护理,对照组实施常规护理。对两组产妇临床护理观察指标和治疗效果进行比较。结果研究组产妇介入栓塞止血花费时间、手术总时间、住院天数均短于对照组,差异有统计学意义(P <0.05);研究组临床治愈率高于对照组,差异具有统计学意义(P <0.05);对照组出现术后呕吐、下肢静脉血栓形成、发热、穿刺点渗血、宫体疼痛等并发症,研究组未出现严重并发症。结论对选择介入动脉栓塞治疗的难治性产后出血产妇进行围术期优质护理干预能提高介入栓塞治疗的效果,安全可靠。

Objective To discuss the clinical effect of high quality nursing for puerpera with tintractable postpartum hemorrhage by transcatheter aiterial embolization （TAE）. Methods 100 patients with intractable postpartum hemorrhage who underwent transcatheter arterial embolization （TAE） from July 2007 to December 2017 were selected as the study subjects. They were randomly divided into the study group （50 cases） and the control group （50 cases）. The study group implemented quality care. The control group received routine nursing. The clinical nursing observation index and therapeutic effect of two groups of puerpera were compared. Results The time spent on interventional embolization hemostasis, total operation time and hospital stay in the study group were shorter than those in the control group （P 〈 0.05）. The clinical cure rate of the study group was higher than that of the control group （P 〈 0.05）. The control group had postoperative vomiting, lower extremity venous thrombosis, fever, puncture point bleeding, uterine pain and other complications, the study group did not appear serious complications. Conclusion The interventional treatment with high quality nursing shows signifcant clinical effect on the teatment of tintractable postpartum hemorrhage.