整体护理在产后大出血子宫动脉栓塞术患者中的临床应用效果

发布时间：2018-06-08 04:57

本文选题：子宫动脉 + 栓塞　；参考：《中国介入影像与治疗学》2016年06期

【摘要】：目的探讨整体护理(OC)对子宫动脉栓塞术(UAE)治疗产后大出血(PPMH)患者的应用价值。方法将100例PPMH伴失血性休克患者随机分为OC组和传统护理(TN)组各50例。两组均经保守治疗无效后接受UAE治疗。对OC组实施OC干预,而对TN组实施TN干预。比较两组患者状态焦虑量表(SAI)评分、一次性栓塞成功率、阴道出血量、并发症发生率、患者及其家属满意度、健康教育率、住院天数及术后月经状况。结果入院第1天,两组SAI评分均较高,二者间差异无统计学意义(P0.05);UAE治疗前1天及出院当天两组SAI评分差异均有统计学意义(P均0.05)。OC组一次性栓塞成功率高于TN组,阴道出血量及并发症发生率低于TN组(P均0.05);且OC组患者满意度、健康教育率均高于TN组,住院时间短于TN组(P均0.05)。两组患者术后月经情况均逐渐恢复正常。结论对接受UAE治疗的PPMH患者采用OC护理方案有利于提高治疗效果。
[Abstract]:Objective to explore the value of holistic nursing care in the treatment of PPMH with uterine artery embolization. Methods 100 PPMH patients with hemorrhagic shock were randomly divided into OC group and traditional nursing group (n = 50). Both groups were treated with UAE after ineffective conservative treatment. OC intervention was performed in OC group and TN intervention in TN group. The scores of SAI, the success rate of one-off embolism, the volume of vaginal bleeding, the incidence of complications, the satisfaction of patients and their families, the rate of health education, the days of hospitalization and the menstrual status after operation were compared between the two groups. Results on the first day of admission, the SAI scores of the two groups were higher than those of the TN group. The volume of vaginal bleeding and the incidence of complications were lower than those of TN group (P < 0.05), and the patients' satisfaction and health education rate in OC group were higher than those in TN group, and the hospitalization time was shorter than that in TN group (P < 0.05). The menstrual state of the two groups gradually returned to normal after operation. Conclusion OC nursing regimen for PPMH patients receiving UAE therapy is beneficial to improve the therapeutic effect.
【作者单位】：湖北医药学院附属太和医院医学影像中心;湖北医药学院附属人民医院老年医学科;
【基金】：十堰市科学技术研究与开发项目(2013019)
【分类号】：R473.71

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