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目的探讨优质护理在妊高征产妇产后出血中的临床应用效果。方法选取2013年3月至2016年4月我院收治的97例妊高征患者为研究对象,随机分为对照组(49例)和优质护理组(48例),对照组患者采取常规护理,优质组患者采用优质护理模式,比较两组患者的新生儿体重、新生儿5 min Apgar评分、收缩压和舒张压、产后出血率等指标。结果优质护理组患者的新生儿体重、5 min Apgar评分明显优于对照组,差异具有统计学意义(P<0.05);护理后,优质护理组患者的收缩压和舒张压分别为(126.98±9.31)mmHg、(81.62±5.89)mmHg,明显低于对照组患者的(137.90±7.02)mmHg、(88.62±4.39)mmHg,两组患者的血压比较,差异具有统计学意义(P<0.05);对照组患者的出血率为20.4%,明显高于优质护理组的2.04%,差异具有统计学意义(P<0.05)。结论优质护理在降低妊高征患者产后出血率方面具有积极作用,新生儿Apgar评分较高,值得在临床应用推广。
Objective To explore the clinical application of quality nursing in postpartum hemorrhage of pregnancy induced hypertension. Methods From March 2013 to April 2016, 97 PIH patients treated in our hospital were selected as control group (49 cases) and high-quality nursing group (48 cases). Patients in control group were treated with routine nursing care, High-quality group of patients with high-quality care model, the two groups of neonatal weight, neonatal 5 min Apgar score, systolic and diastolic blood pressure, postpartum hemorrhage and other indicators. Results The weight of newborns in high-quality care group at 5 min was significantly higher than that of control group (P <0.05). After nursing, the systolic and diastolic blood pressure in high-quality nursing group were (126.98 ± 9.31 ) mmHg, (81.62 ± 5.89) mmHg, which was significantly lower than that of the control group (137.90 ± 7.02 mmHg, (88.62 ± 4.39) mmHg). There was significant difference in blood pressure between the two groups (P <0.05) The bleeding rate was 20.4% in the group of patients, which was significantly higher than 2.04% in the high-quality nursing group, the difference was statistically significant (P <0.05). Conclusions Quality nursing plays a positive role in reducing the postpartum hemorrhage rate in patients with PIH. Neonatal Apgar score is higher and worthy of promotion in clinical application.