妊高症的治疗及护理.doc

PAGE PAGE 1 学号 学号 中 南 大 学 现 代 远 程 教 育 毕 业 论 文 论文题目 妊高症的治疗及护理 姓 名 指导教师 2012年 内容提要：目的：探讨重度妊娠高血压综合征（简称妊高征）患者在治疗过程中的一般护理、药物治疗过程护理及子痫和先兆子痫的护理要点。方法：对55例重度妊高征患者从产前、产后给予心理护理和健康指导、药物治疗，并在不同阶段侧重不同的护理方法。结果：正规产检组24例，均表现为先兆子痫，无子痫发生，其中1例肝功能异常，经治疗，于孕35周米索前列醇引产；新生儿27例(4例双胎)，体重均1 500g，均存活。非正规产检组31例中，新生儿体重1500g 3例，围生期死亡2例，体重1500﹣2500g的新生儿8例，围生期死亡3例，体重2500g新生儿20例，均存活。二组比较正规产检组与非正规产检组新生儿的病死率差异有统计学意义（P0.05）。结论：妊娠高血压综合征是产科特有的常见病之一，严重威胁母婴生命安全，了解其特点，密切观察病情、积极治疗和实施有效的心理护理、保健指导、专科护理与医疗相结合，做好各项监护、注意用药反应，提高药物治疗效果、加强基础护理是提高治愈率、降低围产儿死亡率的关键，提高产科护理质量，对改善预后十分必要。 关键词：妊娠高血压综合征；急性肾衰；子痫； Abstract: Summary: Objective To study severe pregnancy-induced hypertension syndrome (PIH) patients during treatment in the general care, drug treatment care and pre-eclampsia and pre-eclampsia care points. Methods 55 cases of severe PIH patients from prenatal and postnatal care and health guidance for mental, drug treatment, and at different stages of care focused on the different methods. The results of regular check-group of 24 patients, performed as pre-eclampsia, non-eclampsia occurred in which one cases of abnormal liver function, after treatment, was 35 weeks pregnant and misoprostol induction of labor; newborns 27 cases (four cases of twins), body weight were 1 500g, survived. Non-formal capacity of the Unit 31 cases, the birth weight 1 500g 3 cases, 2 cases of perinatal mortality, body weight 1500-2500g of newborns eight cases, three cases of perinatal mortality, body weight 2 500g newborns in 20 cases, survived. Group 2 group and the regular check-check-group of non-formal differences in neonatal mortality rate was statistically significant (P 0.05). Conclusion pregnancy-induced hypertension syndrome is one of producing Scott and some common diseases, a serious threat to the safety of mother and child to understand their characteristics, closely ob