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目的:通过对高龄产妇孕期保健服务的对照研究,探讨孕期保健服务对产后并发症发生率的影响作用。方法:整理2007年1月-2010年12月来温岭市大溪中心卫生院就诊的112例高龄孕产妇,按照随机数字表法随机分为2组。对照组56例,2007年1月-2009年3月入院,该组孕妇从未检查或不定期检查;实验组56例,2008年5月-2010年12月入院,该组产妇均进行孕期保健服务。综合分析孕期保健服务对难产率、早产、死胎率及其相关危险因素如产妇体质量、及血糖水平等的影响。结果:(1)对照组56例,难产29例,难产发病率为51.79%;实验组56例,难产7例,难产发病率为12.50%。两组比较差异有统计学意义(χ2=19.813,P=0.000<0.01)。(2)实验组孕妇及胎儿体质量均较对照组轻(P<0.05),差异有统计学意义,孕妇坚持锻炼、心理稳定、血糖控制亦比对照组好。(3)进行孕期保健服务、定期检查的孕妇,其早产、产后出血、胎膜早破等妊娠并发症的发生率明显低于未行孕期保健、定期检查的孕妇(P<0.05),差异有统计学意义。结论:对高龄产妇给予科学合理的干预、精心的护理能有效降低母儿并发症,有利于孕妇安全分娩,是值得在临床上广泛推广和使用的保健服务。
OBJECTIVE: To investigate the effect of prenatal care services on the incidence of postpartum complications through the comparative study of pregnant women’s health services during pregnancy. Methods: From January 2007 to December 2010, 112 pregnant women from Daxi Hospital of Wenling were randomly divided into two groups according to the random number table method. The control group of 56 patients, January 2007 - March 2009 admitted to hospital, the group of pregnant women never checked or irregular examination; experimental group 56 cases, May 2008 -2010 December admission, the group of maternal health during pregnancy service. Comprehensive analysis of pregnancy health services on the rate of dystocia, preterm birth, stillbirth rate and related risk factors such as maternal body mass, and blood glucose levels and so on. Results: (1) 56 cases of control group, 29 cases of dystocia, the incidence of dystocia was 51.79%; 56 cases of experimental group, 7 cases of dystocia, the incidence of dystocia was 12.50%. The difference between the two groups was statistically significant (χ2 = 19.813, P = 0.000 <0.01). (2) The weight of pregnant women and fetuses in the experimental group were lighter than those in the control group (P <0.05), the difference was statistically significant. Pregnant women insisted on exercise, psychological stability and blood glucose control better than the control group. (3) Pregnant women who performed prenatal care and regular check-ups had significantly lower incidence of pregnancy complications such as premature birth, postpartum hemorrhage and premature rupture of membranes than those who did not take prenatal care (P <0.05) Statistical significance. Conclusion: The elderly maternal give scientific and reasonable intervention, meticulous care can effectively reduce maternal and child complications, is conducive to the safe delivery of pregnant women, is widely worthy of clinical promotion and use of health care services.