蒋霞

【摘要】 目的：对阴道分娩产后出血发生率及产妇健康采取预测评分及护理干预的效果进行研究及判定。方法：选取护理过的60例产妇作为本次研究对象，产妇收治时间在2016年2月-2017年1月，将其依据护理方案分为对照组及观察组，各30例，对照组行常规护理，观察组行预测评分及护理干预，并对比两组产妇产后出血发生率、产后出血量及生活质量情况。结果：观察组产妇护理后生活质量各项评分均高于对照组，差异均有统计学意义（t=6.77、6.80、6.53、10.42，P<0.05）。观察组产妇产后出血发生率为3.33%，低于对照组的20.00%，差异有统计学意义（字2=4.04，P=0.04）。观察组产后出血量为（710.65±252.63）ml，低于对照组的（1 025.46±255.97）ml，差异有统计学意义（t=4.79，P=0.01）。结论：对阴道分娩产后出血发生率及产妇健康采取预测评分及护理干预的效果显著，值得在临床中推广实施。

【关键词】 阴道分娩； 产后出血； 产妇健康； 预测评分； 护理干预

doi：10.14033/j.cnki.cfmr.2018.4.034 文献标识码 B 文章编号 1674-6805（2018）04-0070-02

The Impact Analysis of the Predictive Scoring and Nursing Intervention to Incidence of Postpartum Hemorrhage and Maternal Health /JIANG Xia.//Chinese and Foreign Medical Research，2018，16（4）：70-71

【Abstract】 Objective：To study and determine the predictive scoring and nursing intervention to incidence of postpartum hemorrhage and maternal health.Method：In this study，60 parturients were selected，puerpera admitted time were from February 2016 to January 2016，the parturients were divided into control group and observation group，with 30 cases in each group，the control group was given routine nursing care，and the observation group was given prediction score and nursing intervention.The incidence of postpartum hemorrhage， postpartum bleeding and quality of life were compared between the two groups.Result：The scores of life quality in the observation group were higher than those in the control group，the differences were statistically significant（t=6.77、6.80、6.53、10.42，P<0.05）.The incidence of postpartum bleeding in the observation group was 3.33%，lower than 20.00% of the control group，the difference was statistically significant（字2=4.04，P=0.04）.The amount of postpartum hemorrhage in the observation group was （710.65±252.63） ml， lower than （1 025.46±255.97）ml of the control group，the difference was statistically significant（t=4.79，P=0.01）.Conclusion：The effect of the predictive scoring and nursing intervention to incidence of postpartum hemorrhage and maternal health is obvious，and it is worth promoting the implementation in clinic.

【Key words】 Vaginal delivery； Postpartum hemorrhage； Maternal health； Prediction score； Nursing intervention

First-authors address：Yunyang District Maternal and Child Health Hospital of Shiyan City，Shiyan 442500，China

母嬰健康为衡量国民健康的关键指标，有研究表明，其产科的护理质量与母婴健康具有密切关联[1]，产后出血为胎儿在分娩出24 h内其失血量在500 ml，为分娩期较为严重的并发症，故此对于经阴道分娩患者行早期的鉴别、预防尤为重要，亦为保证产妇生命健康的关键[2]。本研究对2016年2月-2017年1月收治的部分阴道分娩产妇行预测评分和护理干预，获得了显著效果，具体报告如下。

1 资料与方法

1.1 一般资料

选取护理过的60例产妇作为本次的研究对象，产妇的收治时间在2016年2月至2017年1月期间，将其依据护理方案分为对照组、观察组，各30例。纳入标准：（1）积极配合医护人员治疗、护理者；（2）各项检查指标均符合本次研究要求者；（3）可正常交流、沟通者；（4）经医院伦理委员会批准，产妇及其家属均知情、同意者。排除标准：（1）合并严重心、肝、肾功能不全者；（2）胎儿为巨大儿者；（3）合并妊娠并发症者；……