目的 探讨心理护理对中央型前置胎盘伴胎盘植入介入治疗患者的影响.方法 选取我院行介入治疗的60例中央型前置胎盘伴胎盘植入产妇,随机分为两组,对照组行常规护理,观察组实施全面的心理护理,观察两组患者焦虑、抑郁等不良情绪的发生情况.结果 观察组SAS、SDS和SCL-90评分均低于对照组,差异有统计学意义(P<0.05).结论 对中央型前置胎盘伴胎盘植入介入治疗术后患者采用心理护理能够改善患者的焦虑、抑郁情绪,减少不良情绪.

目的:此次研究分析在剖宫产术后护理中采用集束化护理干预对剖宫产术后肛门排气的应用效果.方法:本次研究样本从本院剖宫产产妇中选取 208 例,研究时间从 2018 年 5 月开始,截至 2019 年 5 月,将护理方式作为分组依据,实验组产妇采用集束化护理干预,对照组产妇采用常规护理方案,对比两组产妇护理结果.结果:统计得知,实验组产妇护理满意率较高,两组对比之下差异值符合统计学标准(P＜0.05);统计得知,实验组肛门排气时间较短,两组对比之下差异值符合统计学标准(P＜0. 05).结论:通过此次研究得知,在剖宫产术后采用集束化护理,能缩短产妇术后首次肛门排气时间,促进胃肠功能恢复,减轻术后疼痛,提高产妇满意度.

目的 分析重症孕产妇的临床特征,总结心理护理的有效方法.方法 对本院2017年4月～2018年4月之间入住MICU的546例重症孕产妇进行分析,通过观察及沟通分析重症孕产妇临床特征,总结有效心理护理措施.结果 546例重症孕产妇主要临床心理特征包括依赖、紧张、恐惧以及疑虑.结论 在分析重症孕产妇临床特征基础上开展心理护理能够保证护理针对性,对于重症孕产妇不良心理状态的改善更为有效.

目的 随着生育年龄推迟,高龄孕产妇发生率不断增加,高龄孕产妇术后肠道功能恢复较普通孕产妇减慢,带来不良临床后果.方法 选取2016年1月~12月我院收治的孕产妇180例作为研究对象,将其随机分为正常组、高龄孕产妇组,高龄孕产妇治疗组,各60例.其中,正常组平均年龄(25±3.25)岁、高龄孕产妇组平均年龄(38±3.25)岁,高龄孕产妇治疗组平均年龄(39±2.78)岁.高龄孕产妇治疗组术后耳穴治疗,取穴:三焦、胃、大肠、小肠.结果 提示高龄孕产妇组术后肠鸣音恢复时间、首次排气时间等指标均明显较正常组延长,耳穴治疗后上述时间明显缩短.高龄孕产妇组中腹胀人数较正常组增多,耳穴治疗后可降低腹胀发生率.结论 耳穴治疗可促进高龄孕产妇剖宫产术后肠功能恢复.

目的: 探讨孕产妇围产期康复护理及饮食指导对其便秘治疗的临床效果.方法: 选取本院2015年8月-2016年2月收治的70例产后便秘产妇作为研究对象,按照随机数字表法分为观察组(n=38)和对照组(n=32).对照组按照常规的护理方案进行,如心理干预、运动指导、人工排便等,观察组在常规护理的基础上,采用本院产科特有的康复护理+饮食指导模式,如穴位按摩、低频理疗、中药熏足以及饮食指导.对比观察两组便秘的治疗效果.结果: 经过一周治疗后,观察组便秘治疗总有效率为94.74%,总满意率为86.84%,均明显高于对照组的71.87%和62.50%,差异均有统计学意义(P<0.05).结论: 对围产期特别是产后出现便秘的产妇在常规护理的基础上,采用康复护理+饮食健康指导的方式,能有效治疗便秘,改善产妇的生活质量,提高医院产科护理的满意度,值得在临床上推广应用.

目的 通过对产后甲状腺炎(PPT)患者外周血树突状细胞(DCs)免疫功能及状态的观察,探讨DCs与PPT发生发展的关系.方法 用流式细胞术(FACS)分别检测经培养后来源于PPT患者及正常健康人外周血DCs上CD83、CD80、CD86的表达水平.结果 来源于PPT患者外周血DCs上CD83、CD80、CD86分子的表达水平显著高于正常组(P＜0.05),同种混合淋巴细胞反应显示PPT患者组DCs免疫刺激能力显著高于正常组(P＜0.01).结论 DCs免疫功能及成熟分化的增加与PPT的发生密切相关.

Objective:To explore the effect of five-element music combined with herbal diet on the safety of late threatened abortion. Methods:A total of 240 patients with late threatened abortion were randomly divided into four groups according to the order of hospital ad-mission, group A,group B,group C,and group D,60 in each group.The patients in group D were treated with routine western medicine and group C were treated with herbal diet on the basis of group D.Group B was treated with five-element music therapy besides the routine western medicine,while group A was treated by the five-element music combined with herbal diet.The effects of treatment, self-rating anxiety scale( SAS) ,self-rating depression scale( SDS) ,and delivery outcome were compared among the four treatment groups before and after treatment.Results:The effective rate of group A was higher than that of group B,C,and D,and the full-term delivery rate of group A was higher than that of group B,C,and D.The effective rate and full-term delivery rate of group B and group C were higher than those of group D(P<0.05).The premature delivery rate of group A,B,and C was lower than that of group D,and that of group A was lower than that of group B and C.The difference was statistically significant(P<0.05).Compared with before treatment,the four groups′SAS,SDS scores were reduced after treatment(P<0.05).The SDS and SAS scores of group A,B were less than that of group C and D(P<0.05). Conclusion:Five-element music and herbal diet can effectively improve the efficacy of late threatened abortion, bad mood and delivery outcomes,and the security is good enough to deserve clinical application.

Objective:To probe into the effect and safety of medicated diet combined with five elements of music assistant treatment for patients with late threatened abortion.Methods:A total of 240 patients with late threat-ened abortion in obstetrics department in Guangdong Maternal and Child Health Hospital from January 2014 to June 2015 were divided into combined treatment group(n=60),medicated diet group(n=60),music group(n=60)and control group(n=60)based on digital random method.The patients in control group were treated by routine western medicine therapy;the patients in music group were treated with the five elements music therapy on the basis of the routine therapy;the patients in medicated treatment diet group were treated with medicated diet on the basis of the routine therapy;the patients in combined treatment group were treated with medicated diet and five elements music therapy on the basis of routine therapy.After 2 courses,compare the scores of ther-apeutic effect,Hamilton depressive scale(HAMD)and Hamilton anxiety scale(HAMA)before and after the treatment,satisfaction and adverse reactions of pregnant women in the 4 groups.Results:Compared with the control group,the scores of treatment efficiency and pregnant women’s satisfaction of combination group,medi-cated diet group and music group were improved,and the scores of HAMD and HAMA decreased significantly after treatment(P <0.05).Compared with the medicated diet group and music group,the patients in combined treatment group had higher scores of efficiency and satisfaction(P <0.05).The scores of HAMD and HAMA in music group were lower than those in medicated diet group(P <0.05).The incidence of adverse reactions in the treatment has no significantly differences among the four groups(P >0.05 ).Conclusions:Medicated diet com-bined with five elements of music assistant treatment for patients with late threatened abortion could improve the therapeutic effect,patient’s satisfaction,and relieve the adverse emotions of pregnant women.

选取2015年1月~7月我院收治的76例孕晚期胎膜早破安胎孕妇.按照护理方式不同分成观察组和对照组两组各38例,对照组采取常规护理,观察组采取综合护理,对比两组护理效果.结果观察组孕妇护理满意度显著高于对照组(P<0.05),便秘发生率显著低于对照组(P<0.05).孕妇SAS、SDS、HAMD评分均显著低于对照组(P<0.05).以综合护理干预孕晚期胎膜早破安胎孕妇,可降低便秘发生率,提高护理满意度,改善患者心理负性情绪,可推广应用.

选取2013年3月~2015年4月在我院产科住院分娩后发生尿潴留的产妇122例,随机分为对照组和观察组各61例.对照组仅接受常规尿潴留指导护理,观察组在对照组基础上施加护理干预.观察两组产妇护理后自行排尿效果.结果观察组产妇自行排尿总有效率为95.08%,优于对照组自行排尿率有效率85.25%,差异具有统计学意义(P<0.05).针对产后尿潴留产妇进行护理干预能够快速改善产妇自行排尿有效率,值得临床推广.

Objective To investigate the contribution of nursing interventions on preventing lower extremity deep venous thrombosis in women after cesarean.Methods 184 women after cesarean were chosen and randomly divided into two groups.After being evaluated by thrombosis risk factor table,pneumatic circulation treatment was performed on patients in observation group for at least 30 minutes,twice a day,who were also required to do more exercises since the day after surgery.The patients in control group just underwent conventional nursing.Blood flow of the lower extremity deep veins was evaluated by Doppler ultrasound for all of the patients on the first day and the seventh day after cesarean to compare the incidence of lower extremity deep vein thrombosis between two groups.Besides,the thigh and crus perimeters were measured everyday to compare the incidence of lower limb swelling between two groups.Results 6 patients in control group were diagnosed as lower extremity deep vein thrombus meanwhile the number in observation group was 0.There was statistical significant difference between two groups (x 2=5.031,P ＜ 0.05).Besides,the number of patients undergoing lower limb swelling in observation group was significantly lower than that in control group (x2=8.528,P ＜ 0.01).Conclusion Nursing intervention can effectively prevent thrombosis lower extremity deep venous thrombosis on women after cesarean.

Objective To evaluate the efficacy of NovoRapid and Novolin R in treatment of patients with gestational diabetes(GDM) . Methods Hospitalized patients from September 2011 to August 2012 were randomly divided into the NovoRapid group (37 patients) and the Novolin R group (29 patients) . After 2 weeks' treatment, fasting blood glucose (FBG) ,2 h postprandial blood glucose (P2hBG) ,glycosylated hemoglobin (HbA1c) ,index of insulin resistance(HOMA-IR) ,secrete function index of beta islet cells(HOMA -β) and hypoglycemia incidence were compared in two groups. Results Compare to the Novolin R group,the NovoRapid group had the lower daily insulin usage[(20. 48 ± 6. 79) vs(26. 48 ± 8. 43) U/d,P<0.05] and lower HOMA-IR level(2. 87 ± 1. 38 vs 4. 37 ± 1. 08,P<0.05) ,but higher HOMA-β level(1.29 ±0. 59 vs 0. 89 ± 0. 33,P<0.05) for reaching target blood glucose levels. Hypoglycemia incidence was similar between two groups(8. 1% vs 14. 8% ,P>0.05) . Conclusions Compared with Novolin R,NovoRapid is more effective in controlling blood glucose,restoring islet secretion and improving insulin sensitivity of GDM patients.