心理干预配合米索前列醇预防高危人群中期妊娠引产出血的研究

Study on prevention of induced labor hemorrhage in high risk populationby psychological intervention combined with misoprostol

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DOI 10.12208/j.cn.20230258
刊名
Contemporary Nursing
年,卷(期) 2023, 4(5)
作者
作者单位

义乌市妇幼保健院 浙江金华 ;

摘要
观察心理干预配合米索前列醇片预防高危人群中期妊娠引产产后出血的临床疗效。方法 选取本院2020年5月至2022年4月妇科收治的高危中期妊娠引产患者120例,随机分为对照组和观察组各60例,统计中期引产后2 h内的出血量和24 h内产妇的出血量及急诊清宫率。结果 观察组引产后2h内和24h内的平均出血量及急诊清宫率均较对照组显著减少,且两组间比较差异有统计学意义(P<0.05)。2组治疗前焦虑、抑郁评分对比差异较小,无统计学意义(P>0.05)。治疗后观察组的焦虑、抑郁评分较低(P<0.05)。且各组治疗前后比较差异明显(P<0.05)。观察组满意度明显要高于对照组(P<0.05)。结论 心理干预配合米索前列醇片预防高危人群中期妊娠引产可明显减少引产后的出血量,减少急诊清宫率,且不良反应少,安全性高。
Abstract
Objective To observe the clinical efficacy of psychological intervention combined with misoprostol tablets in preventing postpartum hemorrhage during induced labor in high-risk population. Methods One hundred and twenty patients with high risk mid-term pregnancy induced labor admitted by the department of gynecology in our hospital from May 2020 to April 2022 were randomly divided into the control group and the observation group, with 60 cases in each group. The amount of bleeding within 2 hours after mid-term induced labor, the amount of bleeding within 24 hours after mid-term induced labor and the rate of emergency uterine clearance were counted. Results The average amount of bleeding within 2 hours and 24 hours after induction of labor and the rate of emergency uterine clearance in the observation group were significantly lower than those in the control group, and the difference between the two groups was statistically significant (P<0.05). There was no significant difference in anxiety and depression scores between the two groups before treatment (P>0.05). After treatment, the anxiety and depression scores of the observation group were lower (P<0.05). There was significant difference in each group before and after treatment (P<0.05). The satisfaction of the observation group was significantly higher than that of the control group (P<0.05). Conclusion Psychological intervention combined with misoprostol tablets can significantly reduce the amount of bleeding after induction of labor, reduce the rate of emergency uterine clearance, and have less adverse reactions and high safety.
关键词
心理干预;米索前列醇片;中期妊娠
KeyWord
Psychological intervention; Misoprostol tablets; Mid-term pregnancy
基金项目
页码 144-146
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叶妍菲*,韩琳. 心理干预配合米索前列醇预防高危人群中期妊娠引产出血的研究 [J]. 当代护理. 2023; 4; (5). 144 - 146.

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