基于Autar量表的护理干预对妊娠期高血压疾病剖宫产产妇的影响

Effect of nursing intervention based on Autar scale on lying-in women with hypertensive disorder complicating pregnancy who underwent cesarean section

目的探讨基于Autar量表的护理干预对妊娠期高血压疾病剖宫产产妇血流动力学和下肢静脉血栓形成的影响。方法将2017年7月至2018年5月我院进行治疗妊娠期高血压疾病行剖宫产的200例产妇作为研究对象,随机等分为对照组和观察组。两组产妇入院后均实施剖宫产分娩,对照组实施常规妊娠期高血压疾病产科护理,观察组在对照组基础上应用Autar量表进行评估并进行针对性护理。观察并比较两组产妇围术期血流动力学状况、术后静脉血流速度以及术后3 d下肢静脉血栓发生情况。结果手术前两组患者心率、收缩压(SBP)、舒张压(DBP)各项指标比较差异无统计学意义(P> 0. 05)。麻醉后5 min及胎儿娩出时两组心率显著升高,SBP,DBP显著降低(P <0. 05)。麻醉后5min观察组SBP,DBP均明显低于对照组,胎儿娩出时观察组心率、SBP明显低于对照组(P <0. 05)。对照组腘静脉血流速度、股静脉血流速度均明显低于观察组(P <0. 05)。观察组下肢静脉血栓发生率明显低于对照组(P <0. 05)。结论基于Autar量表的护理干预能有效改善妊娠期高血压疾病剖宫产产妇血流动力学状况,并提高血流速度,减少下肢静脉血栓的发生率,临床应用效果良好。

Objective To study the effect of nursing intervention based on Autar scale on maternal hemodynamics and lower extremity venous thrombosis among lying-in women with hypertensive disorder complicating pregnancy who underwent cesarean section.Methods A total of 200 cases of lying-in women who underwent cesarean section for the treatment of hypertensive disorder complicating pregnancy in our hospital from July 2017 to May 2018 were selected as the study subjects.They were divided into control group and observation group with the same number of patients randomly.The two groups of women were given cesarean delivery after admission to the hospital,and patients in the control group was treated with routine obstetric nursing for hypertensive disorder of pregnancy.Patients in the observation group was treated with targeted nursing after evaluation by Autar scale on the basis of treatment of control group.The perioperative hemodynamic status,postoperative venous blood flow velocity and venous thrombosis of the lower extremities were observed and compared between the two groups.Results Before the operation,there was no significant statistical difference between the patients in the two groups in heart rate,systolic blood pressure(SBP)and diastolic blood pressure(DBP)indicators(P>0.05).The heart rated of the two groups increased significantly at 5 minutes after anesthesia and when the baby was born,while the SBP and DBP decreased significantly(P<0.05).After5minutes of anesthesia,the SBP and DBP of the observation group were lower than that of the control group.At the birth of the baby,the heart rate and SBP of patients in the observation group were lower than that of the control group(P<0.05).The blood flow velocities of popliteal vein and femoral vein of patients in the control group were lower than that of the observation group(P<0.05).The incidence of lower extremity venous thrombosis in the observation group was significantly lower than that in the control group(P<0.05).Conclusion Nursing intervention based on Autar scale can improve the hemodynamic status of cesarean section in patients with hypertensive disorder complicating pregnancy effectively.Furthermore,it can increase blood flow velocity and reduce the incidence of venous thrombosis of lower extremity.The clinical application effect is good.