宫颈机能不全孕妇宫颈环扎术后的护理对术后并发症的影响

Effect of Nursing After Cervical Cerclage on Postoperative Complications in Pregnant Women with Cervical Insufficiency

目的探究宫颈机能不全(CIC)行宫颈环扎术患者的术后护理方案。方法选取2016年6月-2018年6月于我院行紧急宫颈环扎术治疗,并给予针对宫颈环扎术的术后护理干预的80例CIC孕妇作为观察组,另选采用常规护理的80例宫颈环扎术后CIC孕妇作为对照组,比较两组孕周延长情况、术后并发症及妊娠结局。结果观察组的平均延长胎龄及孕周>8周的孕妇比例均大于对照组(P<0.05);观察组的术后并发症发生率为25.00%,低于对照组的36.25%,差异有统计学意义(P<0.05);观察组的流产率、早产率低于对照组,且足月拆线率及自然分娩率高于对照组,差异有统计学意义(P<0.05)。结论CIC宫颈环扎术后护理可有效延长患者的孕周时间,降低术后并发症风险,有利于妊娠结局的改善。

Objective To explore the postoperative nursing plan for patients with cervical incompetence(CIC)undergoing cervical cerclage.Methods From June 2016 to June 2018,80 CIC pregnant women who underwent emergency cervical cerclage in our hospital and received postoperative nursing intervention for cervical cerclage were selected as the observation group,and 80 CIC pregnant women who underwent routine nursing after cervical cerclage were selected as the control group.The prolongation of gestational weeks,postoperative complications and pregnancy outcomes were compared between the two groups.Results The average gestational age and the proportion of pregnant women with gestational age>8weeks in the observation group were higher than those in the control group(P<0.05).The incidence of postoperative complications in the observation group was 25.00%,which was lower than 36.25%in the control group,the difference was statistically significant(P<0.05).The abortion rate and premature delivery rate of the observation group were lower than those of the control group,and the full-term suture removal rate and natural delivery rate were higher than those of the control group,the difference was statistically significant(P<0.05).Conclusion CIC cervical cerclage postoperative nursing can effectively prolong the gestational age of patients,reduce the risk of postoperative complications,and improve the pregnancy outcome.