疤痕子宫中孕引产术的临床观察与护理体会

Clinical Observation and Nursing Experience of Pregnancy Induced Labor in Scar Uterus

目的观察分析疤痕子宫中孕引产术的护理。方法筛选86例瘢痕子宫妊娠孕妇为研究对象,均是2017年11月—2018年12月之间前来我院行引产术的孕妇,通过信封抽签法均分为两组,干预组(n=43)应用全程护理干预,参照组(n=43)应用基础性护理,对比两组护理效果。结果干预组和参照组引产成功率分别为97.67%、90.69%,组间差异无统计学意义(P>0.05);干预组比参照组产妇有更少出血量、更短引产时间、更低的VAS疼痛评分,组间差异有统计学意义(P<0.05);干预组护理总满意度为95.35%,远高于参照组的81.39%,组间差异呈统计学意义(P<0.05)。结论全程护理干预在瘢痕子宫中孕引产术中能辅助提升引产效果,确保孕妇安全。

Objective To observe and analyze the nursing care of pregnancy induced labor in scar uterus.Methods A total of 86 pregnant women with scar uterine pregnancy were selected as study subjects.All of them were pregnant women who came to our hospital for labor induction between November 2017 and December 2018.They were divided into two groups by the envelope lottery method.Results The success rate of labor induction in the intervention group and the reference group was 97.67%and 90.69%,respectively,and the difference between the two groups was not statistically significant(P>0.05).Compared with the control group,the intervention group had lower blood loss,shorter duration of labor induction and lower VAS pain score,and the difference between the two groups was statistically significant(P<0.05).The total nursing satisfaction of the intervention group was 95.35%,which was much higher than that of the reference group(81.39%),and the difference between the groups was statistically significant(P<0.05).Conclusion Wholecourse nursing intervention can help improve the effect of labor induction in cicatricial uterine pregnancy and ensure the safety of pregnant women,which is worthy of clinical application.