邹水娟 章瑞云

[摘要] 目的 探讨胎膜早破与难产的关系以及相应的护理对策。 方法 随机选取2012年2月～2014年2月间本院收治的100例胎膜早破产妇作为观察组，选择同期于本院分娩的100例健康产妇作为对照组。比较两组患者难产的发生率。将100例胎膜早破产妇随机分为A、B两组各50例；A组进行优质护理干预，B组进行产科常规护理；比较两组产妇的护理效果及护理满意度。 结果 观察组自然分娩率56.00%，明显低于对照组78.00%，不良反应21.00%明显高于对照组5.00%（χ2=10.945～11.317，P<0.05）；A组产妇焦虑评分（39.2±3.5）、并发症2.00%均明显低于对照组，满意度98.00%明显高于对照组82.00%（χ2=7.111，P<0.05）。 结论 胎膜早破会增加产妇的难产机率，对于存在胎膜早破的产妇强化基础护理，给予针对性优质护理干预可降低并发症发生，缓解焦虑程度，提高护理满意度。

[关键词] 胎膜早破；难产；护理；妊娠结局；负性情绪

[中图分类号] R473.71 [文献标识码] B [文章编号] 1673-9701（2015）34-0146-04

Analysis and evaluation of the relationship between nursing premature rupture of membranes and dystocia

ZOU Shuijuan ZHANG Ruiyun

Department of Obstetrics and Gynecology，the Second Hospital of Shaoxing City in Zhejiang Province，Shaoxing 312000，China

[Abstract] Objective To analyze the premature rupture of membranes and difficult labor relations and the corresponding nursing countermeasures. Methods A total of 100 cases of premature rupture of membranes maternal randomly selected between February 2012-February 2014 in our hospital treated as observation group，the session at the same time in our delivery of 100 healthy women as control group. Compare two groups of patients during childbirth risk. Premature rupture of membranes，100 cases of puerpera were randomly divided into two groups A and B each 50 cases； High quality nursing intervention group A and group B in obstetrics conventional nursing； Comparison of two groups of maternal care and nursing satisfaction. Results 56.00% natural births in observation group was obviously lower than the control group 78.00%，21.00% adverse reactions are significantly higher than the control group 5.00% （χ2=10.945-11.317，P<0.05）； Group A maternal anxiety score（39.2±3.5），and complications were significantly lower than the control group 2.00%，98.00% satisfaction was significantly higher than the control group 82.00%（χ2=7.111，P<0.05）. Conclusion Premature rupture of membranes can increase the risk of maternal childbirth， premature rupture of membranes for existence of maternal strengthening basic nursing， gives targeted high quality nursing intervention can reduce complications， reduce anxiety degree， improve nursing satisfaction.

[Key words] Premature rupture of membranes； Dystocia； Nursing； Pregnancy outcome； Negative emotions

胎膜早破是产科临床上的常见妊娠并发症，该并发症的发生机率较高。相关研究结果显示胎膜早破的发生机率约占24%，且该种并发症极易导致新生儿窒息、早产、围产儿死亡等围产期不良结局[1，2]。近年来许多研究结果显示，胎膜早破与难产之间存在极大关系[3-5]。本次研究选择100例胎膜早破产妇与100例健康产妇作为研究对象，分析研究胎膜早破与难产的关系以及护理效果，现报道如下。

1 资料与方法

1.1 一般资料

选取2012年2月～2014年2月收治的100例胎膜早破产妇作为观察组，同期选择本院正常分娩的100例健康产妇作为对照组。参照中华医学会妇产科学分会《胎膜早破的诊断与处理指南》[6]有关胎膜早破诊断标准：①孕妇感觉有较多液体从阴道内流出，且少量间歇排出；②阴道液pH>7；③窥器直视下手触宫底可见有羊水排出；④病理可见胎膜组织为炎症细胞浸润；⑤宫内感染标准：体温>37.5℃；胎心……