临床护理路径干预对行剖宫产重度子痫前期产妇血压指标及并发症的影响

Effect of clinical nursing pathway intervention on blood pressure indicators and complications of severe preeclampsia women undergoing cesarean section

目的探究临床护理路径干预对行剖宫产的重度子痫前期产妇母婴结局、血压指标及并发症等的影响。方法回顾性分析2020年10月至2021年12月于徐州市妇幼保健院行剖宫产的86例重度子痫前期产妇的临床资料,按护理方法的不同将产妇分为对照组(44例)和观察组(42例)。对照组实施优质护理,观察组在优质护理的基础上实施临床护理路径干预。比较2组的母婴结局、血压水平、并发症发生率及临床相关指标。结果观察组新生儿在出生后1min、5min的Apgar评分均高于同期对照组(P均<0.05);观察组产妇的重症监护室(ICU)停留时间、住院时间均短于对照组(P均<0.05)。手术当日、出院时,2组的收缩压、舒张压水平均低于入院时(P均<0.05),且观察组与同期对照组相比均更低(P均<0.05)。观察组产后子痫、肺水肿、大出血等并发症的总发生率(4.76%)较对照组(20.44%)更低(P<0.05)。出院时,2组的血小板计数(PLT)、肌酐(Cr)水平均高于入院时,碱性磷酸酶(ALP)水平均低于入院时(P均<0.05),且观察组的PLT、Cr、ALP水平均优于对照组(P均<0.05)。结论临床护理路径干预可改善行剖宫产的重度子痫前期产妇的母婴结局,控制其血压水平,促进其临床相关指标恢复,并降低并发症发生率。

Objective To explore the effect of clinical nursing pathway intervention on the maternal and infant outcomes,blood pressure indicators,and complications of severe preeclampsia women undergoing cesarean section.Methods The clinical data of 86 women with severe preeclampsia who underwent cesarean section at Xuzhou Maternity and Child Health Care Hospital from October 2020 to December 2021 were retrospectively analyzed.The puerperae were divided into a control group(44 cases)and an observation group(42 cases)according to the different nursing methods.The control group was given high-quality nursing,and the observation group was given clinical nursing pathway intervention on the basis of high-quality nursing.The maternal and infant outcomes,blood pressure level,incidence of complications,and clinical indicators were compared between the two groups.Results The 1-min and 5-min Apgar scores of newborns in the observation group were higher than those in the control group(both P<0.05).The intensive care unit(ICU)length of stay and length of hospital stay of puerperae in the observation group were shorter than those in the control group(both P<0.05).On the day of surgery and at discharge,the levels of systolic and diastolic blood pressure of the two groups were lower than those at admission(all P<0.05),and the levels of the observation group were lower than those of the control group(all P<0.05).The total incidence of complications such as postpartum eclampsia,pulmonary edema,and massive hemorrhage in the observation group(4.76%)was lower than that in the control group(20.44%,P<0.05).At discharge,the levels of platelet count(PLT)and creatinine(Cr)of the two groups were higher than those at admission,and the level of alkaline phosphatase(ALP)was lower than that at admission(all P<0.05).The levels of PLT,Cr,and ALP of the observation group were better than those of the control group(all P<0.05).Conclusion Clinical nursing pathway intervention can improve the maternal and infant outcomes of severe preeclampsia women undergoing cesarean section,control the blood pressure,promote the recovery of clinical indicators,and reduce the incidence of complications.