早期护理干预在重度子痫前期患者中的应用

摘要

目的 探讨早期护理干预在重度子痫前期患者中的应用效果.方法 选取63例重度子痫前期患者,随机分为观察组和对照组,对照组31例采用传统护理模式,观察组32例实行早期护理干预.比较两组患者子痫、胎盘早剥、HELLP综合征、产后出血及视网膜剥离等并发症发生率及围生儿结局.结果 两组并发症比较,胎盘早剥、产后出血观察组的发生率明显低于对照组(P<0.05);两组子痫、视网膜剥离、HELLP综合征发生率差异无统计学意义(P>0.05);两组围生儿结局(包括新生儿窒息、新生儿入住NICU)比较观察组明显低于对照组(P<0.05),两组围生儿病死率差异无统计学意义(P>0.05).结论 早期护理干预能及时发现并发症并采取有效护理干预措施,可降低重度子痫前期患者并发症发生率,改善围生儿结局,提高母婴生存质量.%Objective To observe the effect of early nursing intervention in the patients with severe pre - eclampsia. Methods 63 patients with severe pre - eclampsia were classified in two groups randomly:31 patients in control group treated with normal nursing care, and 32 patients in observed group treated with early nursing intervention. The complications of eclampsia, placental abruption, HELLP syndromes , postpartum hemorrhage, retinal detachment and perinatal outcomes were carefully observed. Results Compared with control group, perinatal outcomes ( included neonatal asphyxia and newboms needed in NICU ), and the incidence of placental abruption, postpartum hemorrhage in observed group were decreased significantly ( P <0. 05 ) in observed group, while there was no significant difference in eclampsia, retinal detachment, HELLP syndromes and perinatal mortality between two groups ( P >0. 05 ). Conclusion Early nursing intervention in the patients with severe pre - eclampsia can decrease the incidence of complications and improve perinatal outcome.