目的 探讨护理对妊娠期高血压疾病的临床疗效.方法 筛选出2012年1月～2013年12月我院产科收住的146例妊娠期高血压综合征的孕妇,在临床观察与护理工作中进行分析研究.结果 经过有效、细致的护理,孕妇的血压均低于护理之前,且指标具有统计学意义.结论 妊娠期高血压疾病的发生因人而异,该病确诊后通过良好的治疗和护理,能够最大限度的减少疾病对孕产妇及胎儿的不良影响,提高母婴存活率及胎儿出身质量.

产后出血是分娩期最严重的并发症,在我国产妇死亡原因中占首位.而子宫收缩乏力性出血是产后出血的主要原因[1],占产后出血的50％～70％,并且产后2h内是其发生的高峰期[2].如今产后出血仍是困扰我国妇产科医师的一大问题,临床多采用缩宫素注射预防和治疗.我院采用益母草注射液联合缩宫素用于在我院住院分娩的150例产妇,并与单纯使用缩宫素的产妇比较,观察产后出血的发生情况,旨在寻求一种更加安全、简单、有效的预防和治疗方法,减少产后出血的发生,促进母儿健康.

剖宫产术是处理高危妊娠和异常分娩,挽救孕产妇和围生儿生命的有效手段,是解决难产的一种助产手段,在围生医学的发展过程中发挥着重要作用,合理使用剖宫产术是衡量产科质量的标志之一,世界卫生组织(WHO)提出剖宫产率控制在15％以内[1].以社会因素为指征的剖宫产是指无剖宫产医学指征,产妇及家属要求的剖宫产术[2].我国目前至少有50％以上的产妇放弃自然分娩方式.本文对本院因社会因素剖宫产226例作一回顾性分析,并从护理方面提出有针对性对策,现报道如下.

ObjectiveTo study the relationship among aerobic-exercise, pregnancy complications during pregnancy (gestational hypertension disease, gestational diabetes) and delivery outcomes.Methods Primiparas with regular physical examination in our hospital during June, 2013-April, 2014 were selected randomly. 150 primiparas who have voluntary aerobic-exercise training pointed were as research group. 150 primiparas without aerobic-exercise pointed were as control. Measured weight at 16 weeks and 37 weeks respectively. Researched the difference of the way of delivery, labor time and labor pain level, postpartum hemorrhage and incidence of pregnancy complications between two groups.Results The body weight and body mass index growth of experimental group were lower than that of control group (P<0.05). The incidence of pregnancy complications of research group were significant lower than that of control (P<0.05). Vaginal births were significant higher in research group than that of control. The cesarean delivery rate was significantly lower than that of control (P<0.01). The level of labor time and labor pain, postpartum haemorrhage was lower than that of control (P<0.05). Conclusion Regular, moderate aerobic-exercise can control weight gain reasonably during pregnancy, can improve the natural births, reduce cesarean section rate, shorten delivery time, reduce the incidence of postpartum hemorrhage, get better birth outcomes, and can decrease incidence of gestational hypertension and gestational diabetes, relieve labor pain effectively. The method is simple, convenient, non-invasive, easy to carry out, worth to promotion.

总结1例自然分娩后产妇并发罕见血小板减少性紫癜的综合护理.在3小时内严重血小板减少的护理过程中,及时观察生命体征、瘀点、瘀斑、出血、血小板计数、药物效果,同时加强基础护理、心理护理并积极预防并发症对疾病的康复具有重要意义.

Objective To investigate the effect of marcrosomia on mothers and infants and measures to reduce the incidence of the complications among them.Methods Three groups of parturient who were admitted from February 2010 to February 2013 were selected and allocated into normal weight group,multipara macrosomia group and primipara macrosomia according to the infant weight(n=150 for each group).Results The bigger the fetus is,the longer the laboring process will be,and more complications will occur.Conclusion Prenatal education and perinatal health care is the premise for the safety of mother and child.To prevent the incidence of macrosomia,we should explore the correct methods of prenatal prediction for macrosomia and extend the indications for cesarean section,so as to reduce maternal complications and improve the healthy level.