回顾性分析产妇产时发热原因和针对性护理干预

Retrospective analysis of maternal fever causes and targeted nursing intervention

目的回顾性分析分娩时产妇发热的原因,以及进行针对性护理干预的方式。方法选取广东省妇幼保健院于2019年6月-2020年6月临产时发热的30例产妇为发热组,另选取无发热的30例产妇为无发热组。收集产妇的各项资料,并进行分析,找出产时发热的原因,及时进行针对性护理干预。对比和分析两组产妇的分娩方式、胎盘病检感染率、抗生素使用率、白细胞计数和新生儿预后情况。结果发热组自然分娩率显著低于无发热组,且发热组剖宫产率显著高于无发热组(P值均<0.05)。发热组白细胞计数、胎盘病检感染率和抗生素使用率均显著高于无发热组(P值均<0.05)。发热组胎儿窘迫率、窒息率和肺炎率均显著高于无发热组(P值均<0.05)。结论产妇分娩时发热会造成不良的妊娠结局,在使用抗生素时,应密切观察产妇生命体征,胎心等变化,并及时进行干预,采用完善的诊疗方法以改善分娩结局。

Objective To retrospectively analyze the causes of maternal fever during childbirth and the ways of targeted nursing intervention.MethodsFrom June 2019 to June 2020 in Guangdong Maternal and Child Health Hospital,30 cases of parturients with fever were selected as the fever group,and 30 cases of parturients without fever were selected as the non-fever group.The data of parturients were collected and analyzed to find out the causes of fever during deliveryand implement timely targeted nursing intervention.The delivery mode,placental infection rate,antibiotic usage rate,white blood cell count and neonatal prognosis of the two groups werecompared and analyzed.Results The natural delivery rate of the fever group was significantlylower than that of the non-fever group,and the cesarean delivery rate of fever group was significantly higher than that of the non-fever group(both P<0.05).The white blood cell count,placental infection rate and antibiotic usage ratc of the fever group were significantly higher thanthose of the non-fever group(all P<0.05).The fetal distress rate,asphyxia rate and pneumoniaratc of the fever group were significantly higher than those of the non-fever group(all P<0.05).Conclusion Fever during childbirth can cause adverse pregnancy outcomes.When antibiotics areused,the maternal vital signs and fetal heart rate should be closely observed.We should promptly intervene and adopt perfect diagnosis and treatment methods to improve the outcomes ofchildbirth.