中医护理干预早期先兆流产临床研究

Clinical Study on Chinese Medicine Nursing for Early Threatened Abortion

目的:观察中医护理干预方案对早期先兆流产患者生活质量、不良心理及孕激素水平的影响。方法:将86例早期先兆流产患者按随机数字表法分为对照组和观察组各43例。对照组给予常规护理,观察组在对照组基础上给予中医护理。比较2组临床症状、孕激素水平、生活质量、睡眠质量及不良情绪的改善情况。结果:观察组出血停止时间、腹痛缓解时间及腰痛缓解时间均明显短于对照组(P<0.05)。护理后,2组血清黄体酮、人绒毛膜促性腺激素(β-HCG)水平较护理前升高(P<0.05),且观察组黄体酮、β-HCG水平高于对照组(P<0.05)。护理后,2组精力、生理功能、社会功能、情感职能、精神健康的评分均明显高于护理前(P<0.05),且观察组生活质量各维度评分均高于对照组(P<0.05)。护理后,2组匹兹堡睡眠质量指数(PSQI)各项评分均低于护理前(P<0.05),且观察组PSQI各维度评分均低于对照组(P<0.05)。护理后,2组焦虑自评量表(SAS)及抑郁自评量表(SDS)评分均低于护理前(P<0.05),且观察组SAS及SDS评分均低于对照组(P<0.05)。结论:在常规护理基础上实施中医护理干预早期先兆流产患者可获得良好的临床疗效,能有效消除患者的临床症状,缓解不良情绪,改善睡眠质量,显著提升孕妇的孕激素水平,增强安胎效果,提高生活质量。

Objective:To observe the effect of Chinese medicine nursing on quality of life,unhealthy psychology and progesterone levels in patients with early threatened abortion.Methods:A total of 86 cases of patients with early threatened abortion were divided into the control group and the observation group according to the random number table method,43 cases in each group.The control group was given routine nursing,and the observation group was additionally treated with Chinese medicine nursing based on the treatment of the control group.The improvement of clinical symptoms,progesterone levels,quality of life,sleep quality and bad mood in the two groups was compared.Results:The stopping time of hemorrhage and the remission time of abdominal pain and low back pain in the observation group were significantly shorter than those in the control group(P<0.05).After nursing,the levels of progesterone andβ-human chorionic gonadotropin(β-HCG)in the two groups were increased when compared with those before nursing(P<0.05),and the above levels in the observation group were higher than those in the control group(P<0.05).After nursing,the scores of energy,physiological function,social function,emotional function and mental health in the two groups were significantly higher than those before nursing(P<0.05),and the scores of all dimensions in quality of life in the observation group were higher than those in the control group(P<0.05).After nursing,the scores of all dimensions of Pittsburgh Sleep Quality Index(PSQI)in the two groups were significantly lower than those before nursing(P<0.05);all dimensions of PSQI in the observation group were lower than those in the control group(P<0.05).After nursing,the scores of Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)in the two groups were lower than those before nursing(P<0.05),and the above two scores in the observation group were lower than those in the control group(P<0.05).Conclusion:Based on routine nursing,the intervention of Chinese medicine nursing for patients with early threatened abortion can attain good clinical effect,effectively eliminate clinical symptoms,relieve bad mood,improve sleep quality,significantly increase their progesterone levels,enhance the effect of calming the fetus and improve quality of life.