胎膜早破原因分析及护理的策略.docVIP

胎膜早破原因分析及护理的策略 　　【摘要】 目的：探讨胎膜早破的原因，并提出相应的护理对策。方法：选取笔者所在医院收治的121例胎膜早破患者为观察组，选取同期收治的100例正常产妇为对照组。比较两组产妇的临床相关指标、妊娠相关危险因素、分娩方式以及围生期结局。针对胎膜早破发生的原因提出相应的护理干预措施。结果：观察组的妊娠期合并症、阴道炎、宫颈炎以及性生活的比例均高于对照组；巨大儿、胎位异常、瘢痕妊娠等比例均高于对照组；剖宫产率、产后并发症以及新生儿并发症均高于对照组，差异均有统计学意义（P0.05）。结论：胎膜早破患者的妊娠结局较差，应该针对其易发原因制定有效的护理措施。 　　【关键词】 胎膜早破； 原因； 妊娠结局； 护理策略 　　中图分类号 R714.43 文献标识码 B 文章编号 1674-6805（2015）27-0070-02 　　【Abstract】 Objective：To investigate the causes of premature rupture of membranes， and propose the corresponding nursing measures.Method：121 cases of patients with premature rupture of membranes were selected as the observation group，100 cases of normal maternal were selected as the control group.The clinical related indexes， relative risk factors of pregnancy， delivery mode and perinatal outcome of the two groups were compared.Then the nursing intervention measures were put forward for the reason of premature rupture of membranes. Result：The proportion of pregnancy complications， vaginitis，cervicitis，and sexual life in the observation group were higher than those of the control group；macrosomia， abnormal fetal position， scar pregnancy were higher than those of the control group；cesarean section rate， postpartum complications and neonatal complications were higher than those of the control group， the differences were statistically significant（P0.05）. Conclusion：The pregnant outcome of premature rupture of membranes is bad； it should be aimed at the cause prone to make effective nursing measures. 　　【Key words】 Premature rupture of membranes； Cause； Pregnancy outcome； Nursing strategy 　　First-author’s address：The Eighth People’s Hospital of Tongzhou District in Nantong City， Nantong 226361，China 　　doi：10.14033/j.cnki.cfmr.2015.27.033 　　胎膜早破是产科常见的并发症，是指在临产前胎膜自然破裂，发生率为2.7%～17.0%。胎膜早破可引起早产、难产、脐带脱垂以及母婴感染，对妊娠和分娩均可造成不利影响，严重威胁母婴的健康[1]。了解胎膜早破的原因及其主要因素，进行早期的护理干预，对于减少危害，改善母婴结局都具有积极意义。现选取2012年1月-2014年12月笔者所在医院收治的121例胎膜早破的患者为研究对象，对胎膜早破的发生原因进行分析，并提出护理对策，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　选取2012年1月-2014年12