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目的分析和探究将综合护理应用到高龄产妇之中,对分娩方式和产程的影响。方法随机选择了我院在2015年1月至2016年1月收治的120例高龄产妇作为研究对象,根据产妇的入院时间将其随机分成了两组,分别为实验组和对照组,对两组产妇的分娩方式、产程、新生儿情况和妊娠并发症发生情况进行记录和对比。结果实验组产妇中有43例(71.67%)选择自然分娩,17例(28.33%)选择剖宫产,总产程时间为(6.2±1.2)h;对照组中有13例(21.67%)选择自然分娩,47例(78.33%)选择剖宫产,总产程时间为(8.9±1.6)h。同时实验组产妇的新生儿体重(3.8±0.6)kg、新生儿Apgar评分(9.8±0.4)分等均高于对照组(2.6±0.4)kg、(8.4±0.7)分,同时实验组中新生儿窒息率(1.67%)低于对照组(10.0%),实验组产妇的前置胎盘、产后出血、早产及妊娠高血压综合征的发生率均比对照组低,他们之间的数据差异具备统计学意义(P<0.05)。结论在高龄产妇入院之后,医护人员要为其提供系统性的综合护理,这样不仅可以提高自然分娩的概率,降低产程时间,而且还能提高新生儿的各项参数,降低妊娠并发症的发生率。
Objective To analyze and explore the impact of applying general nursing to elderly mothers on the mode of delivery and labor process. Methods A total of 120 elderly pregnant women admitted to our hospital from January 2015 to January 2016 were selected randomly as study subjects. They were randomly divided into experimental group and control group on the basis of maternal admission time. Two groups Maternal delivery methods, labor, neonatal and pregnancy complications were recorded and compared. Results In the experimental group, 43 cases (71.67%) chose spontaneous delivery and 17 cases (28.33%) chose cesarean section, the duration of labor was (6.2 ± 1.2) h. In the control group, 13 cases (21.67% Delivery, 47 cases (78.33%) choose cesarean section, the total labor duration (8.9 ± 1.6) h. At the same time, the weight of newborns in the experimental group (3.8 ± 0.6) kg and Apgar score (9.8 ± 0.4) in the experimental group were significantly higher than those in the control group (2.6 ± 0.4) kg and (8.4 ± 0.7) Children with asphyxia (1.67%) were lower than the control group (10.0%). The incidence of placenta previa, postpartum hemorrhage, preterm birth and pregnancy induced hypertension in the experimental group were lower than those in the control group Statistical significance (P <0.05). Conclusion In the elderly after admission to hospital, medical staff to provide them with a comprehensive system of care, which will not only improve the probability of natural childbirth, reduce labor time, but also improve the parameters of newborns, reduce the incidence of pregnancy complications .