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目的:对妊娠期肝内胆汁淤积症患者进行对照实验,探讨妊娠期肝内胆汁瘀积症的整体护理效果。方法:选择2015年1月~2016年1月接收的妊娠期肝内胆汁瘀积症患者作为研究对象,一共30例,随机分组为观察组和对照组,观察组15例,对照组15例,对照组采用常规护理;观察组基于常规护理,采用整体护理措施,比较两组患者母婴并发症发生情况。结果:与对照组(早产40%、羊水过多33.33%、酸中毒40%、妊高症33.33%)对比,观察组母体并发症发生率(早产6.67%、羊水过多0%、酸中毒0%、妊高症6.67%)明显更低,两组数据的比较差异具有统计学意义,P<0.05。与对照组(新生儿窒息33.33%、新生儿肺炎20%、呼吸窘迫综合症33.33%)对比,观察组新生儿并发症发生率(新生儿窒息0%、新生儿肺炎6.67%、呼吸窘迫综合症6.67%)明显更低,两组数据的比较差异具有统计学意义,P<0.05。结论:妊娠期肝内胆汁瘀积症患者采用整体护理具有明显的效果,能够有效地减少母婴并发症的发生,提高母婴的安全,值得临床广泛应用以及推广。
Objective: To control the patients with intrahepatic cholestasis of pregnancy in order to explore the overall nursing effect of intrahepatic cholestasis in pregnancy. Methods: A total of 30 patients with intrahepatic cholestasis of pregnancy received from January 2015 to January 2016 were randomly divided into observation group and control group, 15 cases in observation group and 15 cases in control group, The control group received routine nursing. The observation group was based on routine nursing, and the overall nursing measures were used to compare the incidence of maternal and infant complications in the two groups. Results: Compared with the control group (preterm 40%, polyhydramnios 33.33%, acidosis 40%, pregnancy induced hypertension 33.33%), the incidence of maternal complications in the observation group (6.67% preterm, 0% polyhydramnios, acidosis 0 %, Pregnancy-induced hypertension 6.67%) was significantly lower, the difference between the two groups of data was statistically significant, P <0.05. Compared with the control group (neonatal asphyxia 33.33%, neonatal pneumonia 20%, respiratory distress syndrome 33.33%), the observation group neonatal complications (neonatal asphyxia 0%, neonatal pneumonia 6.67%, respiratory distress syndrome 6.67%) was significantly lower, the difference between the two groups of data was statistically significant, P <0.05. Conclusion: The overall nursing for patients with intrahepatic cholestasis of pregnancy has significant effect, which can effectively reduce the incidence of maternal and infant complications and improve the safety of mother and baby, which is worth widely clinical application and promotion.