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目的通过分析比较采用不同护理模式妊娠晚期肝功能异常孕妇的妊娠结局,探讨护理干预对其妊娠结局的影响,为临床妊娠晚期肝功能异常防治寻找有效的护理方法,降低孕妇分娩危险,促进产母婴安全与优生优育.方法选取2014-10/2015-10在丽水市妇幼保健院治疗的妊娠晚期肝功能异常患者80例.以随机实验参照原则分为实验组(42例)和对照组(38例).对照组采用常规护理,干预组在实施常规护理的基础上给予医学指导下的护理干预.将两组患者的早产、剖宫产、羊水过多、高血压病、泌尿系感染、产后出血、胎儿窘迫等发生情况及新生儿窒息和新生儿高胆红素血症发生情况进行比较.结果对两组患者的实验数据进行比较.实验组妊娠晚期肝功能异常孕妇经过护理干预后其在妊娠期早产、剖宫产、羊水过多、高血压病、泌尿系感染、产后出血、胎儿窘迫等妊娠结局病症发生率均低于对照组,差异均有统计学意义(P<0.05).实验组妊娠晚期肝功能异常患者经过护理干预后新生儿窒息和新生儿高胆红素血症发生率均低于对照组,差异均有统计学意义(P<0.05).结论对于妊娠晚期肝功能异常患者,采取医学指导下的护理干预模式,可以降低妊娠结局病症的发生率.
Objective To analyze the effect of nursing intervention on the pregnancy outcome of pregnant women with abnormal liver function in different stages of pregnancy by analyzing and comparing the effects of nursing intervention on the outcome of pregnancy and to find an effective nursing method for the prevention and treatment of abnormal liver function in late stage of pregnancy, 80 cases with abnormal liver function in the third trimester of pregnancy in Lishui MCH.Methods Eighty patients with abnormal liver function in the third trimester of pregnancy were selected from October 2014 to October 2015. The randomized trial was divided into experimental group (42 cases) and control group (38 cases) The control group received routine nursing intervention, and the intervention group received the nursing intervention under the guidance of routine nursing.The preterm labor, cesarean section, polyhydramnios, hypertension, urinary tract infection, postpartum Bleeding and fetal distress, as well as neonatal asphyxia and neonatal hyperbilirubinemia were compared.Results The experimental data of two groups of patients were compared.Experimental group pregnant women with abnormal liver function in late pregnancy after nursing intervention in Premature pregnancy, cesarean section, polyhydramnios, hypertension, urinary tract infections, postpartum hemorrhage, fetal distress and other pregnancy outcome disorders (P0.05) .The incidence of neonatal asphyxia and neonatal hyperbilirubinemia after nursing intervention in experimental group was lower than that of control group (P <0.05) .Conclusion The nursing intervention mode under medical instruction can reduce the incidence of pregnancy-related disorders in patients with abnormal liver function in the third trimester of pregnancy.