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目的总结产科胎膜早破分娩中临床护理路径的应用价值,为产科护理工作提供参考。方法选择我院产科收治的胎膜早破分娩产妇80例作为研究对象,将其分为参照组与实验组,每组各40例。参照组采用常规护理;实验组采用临床护理路径。对比两组胎膜早破分娩产妇的住院时间、医疗费用、孕妇并发症以及新生儿Apgar评分情况。结果参照组孕妇并发症总发生率为32.5%,实验组孕妇并发症总发生率为7.5%,差异具有统计学意义(χ2=7.812 5,P=0.005 1)。实验组新生儿Apgar评分高于参照组,差异具有统计学意义(P<0.05)。实验组产妇住院时间短于参照组,医疗费用低于参照组,实验组胎膜早破产妇均优于参照组,差异均具有统计学意义(P<0.05)。结论相对于产科常规护理干预,临床护理路径在产科胎膜早破分娩中的应用可以缩短产妇住院时间以及产妇并发症,具有产科实施价值。
Objective To summarize the value of clinical nursing in premature rupture of labor during obstetrical premature rupture of membranes and provide reference for obstetrical nursing. Methods 80 cases of premature rupture of membranes in obstetrics and gynecology admitted to our hospital were selected as the research object, which were divided into the reference group and the experimental group, 40 cases in each group. The reference group used routine nursing; the experimental group adopted the clinical nursing path. The hospitalization time, medical expenses, complications of pregnant women and Apgar scores of neonates were compared between two groups of premature rupture of membranes. Results The total incidence of complications of pregnant women in reference group was 32.5%. The total incidence of complications of pregnant women in experimental group was 7.5%. The difference was statistically significant (χ2 = 7.812 5, P = 0.005 1). The Apgar score of experimental group was higher than that of reference group, the difference was statistically significant (P <0.05). The maternal hospitalization time in the experimental group was shorter than that in the reference group, and the medical expenses were lower than the reference group. The premature rupture of membranes in the experimental group was better than the reference group (P <0.05). Conclusion The application of clinical nursing pathway in premature rupture of childbirth can shorten the maternal hospitalization time and maternal complications, and has the value of obstetrics implementation.