门诊先兆流产合并绒毛膜血肿孕妇低分子肝素注射治疗的护理及对孕妇不良反应发生的影响

Nursing of Pregnant Women with Threatened Abortion and Chorionic Hematoma in Clinic by Low-molecular-weight Heparin Injection and the Influence on the Occurrence of Adverse Reactions

目的:观察研究门诊先兆流产合并绒毛膜血肿孕妇低分子肝素注射治疗的护理及对孕妇不良反应发生的影响。方法:以笔者所在医院门诊2019年8月-2020年8月收治的76例先兆流产合并绒毛膜血肿孕妇作为研究对象,全部采用低分子肝素注射治疗方式,经随机表格法分为两组,参照组38例患者并行常规性护理,研讨组38例患者并行个性化护理干预,主要对其不良反应发生的影响进行观察研究。结果:研讨组孕妇的D-二聚体、超敏C反应蛋白、纤维白蛋白及血小板等凝血指标低于参照组,研讨组孕妇的临床症状缓解时间早于参照组,研讨组孕妇的不良反应发生率为5.26%,低于参照组的23.68%,差异均有统计学意义(P<0.05)。结论:对于门诊先兆流产合并绒毛膜血肿孕妇进行低分子肝素注射治疗并辅以个性化护理干预的效果极佳,同时降低孕妇不良反应发生率,安全高效。

Objective:To observe and study the nursing of Low-molecular-weight Heparin injection for pregnant women with threatened abortion and chorionic hematoma in outpatient clinics and the influence on the adverse reactions of pregnant women.Method:A total of 76 pregnant women with threatened abortion and chorionic hematoma who were admitted to the outpatient clinic of our hospital from August 2019 to August 2020 were taken as the study subjects.All were treated with Low-molecular-weight heparin Injection and divided into two groups by random table method,the reference group with 38 patients was concurrently treated with routine nursing care,and 38 patients in the study group were concurrently treated with personalized nursing intervention,the effect on the occurrence of adverse reactions were mainly observed.Result:The coagulation indexes such as D-dimer,high-sensitivity C-reactive protein,fibralbumin,and platelets of the pregnant women in the study group were lower than those of the reference group.The clinical symptom remission time of pregnant women in the study group was earlier than that of the reference group.The adverse reaction rate of pregnant women in the study group of 5.26%was lower than that of the reference group of 23.68%.The differences between the groups were statistically significant(P<0.05).Conclusion:For outpatient threatened abortion with chorionic hematoma,Low-molecular-weight Heparin Injection therapy combined with personalized nursing intervention is very effective,while reducing the incidence of adverse reactions in pregnant women,which is safe and efficient.