摘要
目的观察综合性干预管理措施对胎膜早破分娩新生儿结局的临床效果。方法选取绵阳市中心医院2018年1月至2019年1月收治的128例胎膜早破分娩产妇,随机分为对照组、观察组各64例。对照组产妇采取常规干预措施,观察组产妇在对照组基础上予以综合性干预管理措施。比较2组焦虑、抑郁情况、生活质量、新生儿感染情况、新生儿并发症、产妇生活质量。结果干预后观察组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分显著低于对照组(P<0.05);观察组新生儿娩出后1、5、10 min的Apgar评分均高于对照组(P<0.05);对照组新生儿感染发生率26.56%显著高于观察组10.94%(P<0.05);干预后观察组乳酸杆菌菌落数明显高于对照组(P<0.05),白色假丝酵母菌、阴沟肠杆菌菌落数明显低于对照组(P<0.05);对照组新生儿并发症发生率15.63%显著高于观察组4.69%(P<0.05);对照组在社会、环境、生理、心理方面评分均显著低于观察组(P<0.05)。结论对胎膜早破分娩产妇实施综合性干预管理,能显著缓解产妇负面情绪,改善新生儿出生情况,降低新生儿感染风险,减少新生儿并发症,稳定产妇阴道菌群,提高产妇生活质量。
Objective To observe the clinical effects of comprehensive intervention on parturients and neonatal outcomes of premature membrane rupture.Methods One hundred and twenty⁃eight parturients with premature rupture of membranes admitted into hospital from January 2018 to January 2019 were enrolled for study,and were randomly divided into 2 groups,each consisting of 64 sub⁃jects.The control group received routine intervention,while the observation group was given comprehensive intervention,in addition to the treatment taken by the control group.Anxiety levels,depression scores,life quality,pregnancy outcomes,neonatal infection,neo⁃natal complications and life quality of parturients were compared between the 2 groups.Results After intervention,the stressed adapta⁃tion syndrome(SAS)and sensory deprivation syndrome(SDS)scores of the observation group were significantly lower than those of the control group(P<0.05).The Apgar scores of the observation group at postpartum 1 min,5 min and 10 min were higher than those of the control group(P<0.05).The rate of neonatal infection in the control group was significantly higher than that of the observation group(26.56%vs.10.94%,(P<0.05)).After intervention,the number of Lactobacillus colonies in the observation group was sig⁃nificantly higher than that in the control group(P<0.05),while the number of Candida albicans and Enterobacter cloacae was signifi⁃cantly lower than that of the control group(P<0.05).The rate of neonatal complications in the control group was significantly higher than that in the observation group(15.63%vs.4.69%)(P<0.05).The scores of evaluations in social,environmental,physiological and psychological aspects in the control group were significantly lower than those in the observation group(P<0.05).Conclusion The application of comprehensive intervention for parturients with premature rupture of membrane could significantly alleviate negative emo⁃tions of parturients,improve neonatal outcomes,reduce risks of neonatal infection and complications,stabilize vaginal flora of parturi⁃ents,and ultimately improve their life quality.
作者
勾卓君
杜丽
Gou Zhuojun;Du Li(Department of Obstetrics and Gynecology,Mianyang Central Hospital,Sichuan Province,Mianyang 621000,China)
出处
《海军医学杂志》
2020年第5期576-579,585,共5页
Journal of Navy Medicine
关键词
综合性干预管理
胎膜早破
产妇
新生儿
Comprehensive intervention
Premature rupture of membrane
Parturient
Neonate
