产科围术期子痫前期急性肺水肿的临床干预

Clinical intervention study of acute pulmonary edema in obstetrical perioperative period of preeclampsia

目的总结产科围术期子痫前期急性肺水肿的临床干预方案。方法选择我院2014年3月至2016年3月收治的120例产科围术期子痫前期剖宫产产妇,随机分为试验组和对照组,各60例。对照组接受解痉治疗,试验组接受解痉治疗+产后利尿治疗。对比两组产妇治疗效果。结果两组产妇治疗前妊娠时间、血浆白蛋白水平差异不显著(P>0.05)。治疗后观察组血氧饱和度、呼吸、心率、胶体渗透压与治疗前比较,差异不显著(P>0.05),而对照组以上指标与治疗前比较,差异显著(P<0.05);治疗后,试验组上述指标均优于对照组,动脉压均值低于对照组(P<0.05)。试验组肺水肿发生率低于对照组(P<0.05)。结论对产科围术期子痫前期剖宫产产妇采取有效的治疗干预,可以更好地改善产妇的肺功能,降低急性肺水肿发生率,改善产妇生存质量。

Objective To summarize the clinical intervention plan of acute pulmonary edema in obstetrical perioperative period of preeclampsia.Methods One hundred and twenty maternals with obstetrical perioperative preeclampsia cesareansection admitted in our hospital from March2014to March2016were randomly divided into experimental group and control group,with60cases in each group.The control group received antispasmodic therapy,and the experimental group received antispasmodic therapy+postpartum diuretic therapy.The clinical effects were compared between the two groups.Results There were no significant differences in the preoperative pregnancy time and plasma albumin levels between the two groups before treatment(P>0.05).The oxygen saturation,respiration,heart rate and colloid osmotic pressure of the observation group after treatment were not significantly different from those before treatment(P>0.05),while those of the control group were significantly different from those before treatment(P<0.05);after treatment,those indexes above in the experimental group were better than those of the control group(P<0.05).The incidence of pulmonary edema in the experimental group was lower than that in the control group(P<0.05).Conclusion For obstetrical perioperative preeclampsia cesarean section maternals,taking effective treatment intervention can improve the lung function of the patients,reduce the incidence of acute pulmonary edema,and improve the quality of life of patients.