重度子痫前期孕产妇护理中优质护理的效果研究

张立

[摘要] 目的 探讨重度子痫前期孕产妇护理中优质护理的效果。 方法 选取本院2014年10月～ 2016年10月诊治的重度子痫前期孕产妇178例，采用随机数字表法分为两组，对照组患者89例实施常规护理，观察组患者89例实施优质护理，于治疗前后行炎症因子检测和心理状况评定，比较两组患者的妊娠结局和并发症情况。 结果 治疗后，两组患者C反应蛋白（CRP）、白介素-6（IL-6）、肿瘤坏死因子α（TNF-α）、前体N末端前脑利钠肽（NT-proBNP）、SAS评分、SDS评分降低（P<0.05）。观察组患者CRP、IL-6、TNF-α、NT-proBNP、SAS评分、SDS评分、剖宫产率、产后出血发生率、HELLP综合征发生率、胎盘早剥发生率、早产儿发生率、胎儿窘迫发生率、新生儿低体重发生率、并发症发生率低于对照组（P<0.05）。观察组新生儿Apgar评分高于对照组（P<0.05）。 结论 优质护理可改善重度子痫前期孕产妇的心理状况和妊娠结局，安全性更高，值得临床推广使用。

[关键词] 重度子痫前期；优质护理；炎症因子；妊娠结局；并发症

[中图分类号] R473.71 [文献标识码] A [文章编号] 2095-0616（2017）20-120-04

Effect study of high quality nursing in pregnant women with severe pre eclampsia

ZHANG Li

The Second People's Hospital of Jiaozuo City， Jiaozuo 454000， China

[Abstract] Objective To investigate the effect of high quality nursing in pregnant women with severe pre eclampsia. Methods 178 pregnant women with severe pre eclampsia in our hospital from October 2014 to October 2016 were selected， and were divided into two groups by random number table method. 89 patients were treated with routine nursing as control group. 89 patients were treated with high quality nursing as observation group. Inflammatory factors and psychological status were assessed before and after treatment. Pregnancy outcomes and complication were compared between two groups. Results The CRP， IL-6， TNF-α， NT-proBNP， SAS score， SDS score in two groups decreased after treatment（P<0.05）. The CRP， IL-6， TNF-α， NT-proBNP， SAS score， SDS score， cesarean section rate， incidence of postpartum hemorrhage， incidence of HELLP syndrome， placental abruption rate， premature birth rate， fetal distress rate， incidence of low birth weight in neonates， complication rate in observation group were lower than those in control group （P<0.05）. The neonatal Apgar score in observation group was higher than that in control group （P<0.05）. Conclusion High quality nursing can improve psychological status and pregnancy outcome of pregnant women with severe pre eclampsia， which has higher safety and worth of clinical use.

[Key words] Severe pre eclampsia； High quality nursing； Inflammatory factors； Pregnancy outcome； Complication

子癇前期是妊娠常见并发症，是妊娠高血压疾病的严重阶段，也是造成孕产妇与新生儿不良结局的主要病因[1-2]，应该给予足够重视。目前，子痫前期的发病机制尚未完全清晰，临床上，也未见特效药物，因而给予患者有效的护理干预是改善患者预后的手段之一[3-4]。优质护理是一种新型的护理理念，其目的是降低并发症风险，提高母婴的生存质量，具有重要的临床意义。此次研究探讨了重度子痫前期孕产妇护理中优质护理的效果，现报道如下。

1 资料与方法

1.1 一般资料

本院2014年10月～2016年10月诊治的重度子痫前期孕产妇178例，入选标准：符合中华医学会妇产科学分会的妊娠期高血压疾病诊治指南中关于重度子痫前期的诊断标准[5]，单胎妊娠，孕周大于28周，患者知情同意，经医院伦理委员会通过。排除标准：患有凝血功能障碍、精神性疾病、胆汁淤积症、心力衰竭、新生儿先天性疾病的患者。……