目的 探讨针对性个性化综合护理对胎膜早破产妇分娩的新生儿发生感染的影响.方法 选取住院分娩的胎膜早破产妇共400例,患者采用随机数字表法分为观察组和对照组,每组200例.对照组给予临床常规护理,观察组在对照组基础上给予针对性个性化综合护理,干预前后发放焦虑自评量表(SAS)和抑郁自评量表(SDS)评估产妇焦虑、抑郁程度,比较产妇并发症发生率及新生儿结局.结果 观察组治疗后SAS评分和SDS评分低于对照组,差异有统计学意义(P<0.05);观察组阴道分娩率为79.0％高于对照组的60.0％,差异有统计学意义(P<0.05);观察组早产、产褥感染、产妇感染发病率分别为10.0％、1.5％、2.0％低于对照组的18.5％、5.0％、6.5％,差异有统计学意义(P<0.05);观察组围生儿感染、新生儿肺炎发生率分别为6.5％、3.0％低于对照组的12.5％、7.5％,差异有统计学意义(P<0.05).结论 针对性个性化综合护理可改善胎膜早破孕妇焦虑、抑郁情绪,提高剖宫产率,降低孕妇并发症及新生儿感染发生率.

目的 分析产妇胎膜早破发生新生儿感染的有效综合护理干预效果.方法 收集产科2017年1月至2018年1月住院分娩的胎膜早破产妇400例,根据随机数字表法随机分为观察组和对照组,每组200例.对照组产妇给予常规护理,观察组在常规护理基础上给予有效综合护理干预.比较2组产妇生产方式、宫内感染情况、产褥期感染率以及新生儿结局.结果 观察组自然分娩率为68.50％高于对照组的54.00％,差异有统计学意义(P<0.05);观察组产妇总感染率为26.00％低于对照组的39.50％,差异有统计学意义(P<0.05);观察组新生儿Apgar评分为(9.08±0.44)分高于对照组的(8.26±0.68)分,体重为(3.45±0.48)kg大于对照组的(2.43±0.34)kg,新生儿感染率、胎儿窘迫率和新生儿窒息率分别为22.50％、11.00％和2.50％低于对照组的32.73％、20.00％和8.00％,差异均有统计学意义(P<0.05).结论 胎膜早破产妇进行有效综合护理干预,可增加产妇自然分娩率,降低产妇及新生儿感染率,改善母婴结局.

目的 探讨盐酸奥美昔芬联合两地汤对围绝经期功能失调性子宫出血(DUB)患者孕激素受体(PR)、雌激素受体(ER)及血管内皮生长因子(VEGF)表达的影响.方法 将64例围绝经期功能失调性子宫出血患者随机分成研究组32例与对照组32例.对照组予以盐酸奥美昔芬片治疗,研究组予以盐酸奥美昔芬片及两地汤治疗.2组均治疗12周.治疗前及治疗12周后应用免疫化学法检测患者子宫内膜组织中PR、ER及VEGF阳性表达率,并观察2组患者的潮热、手足心热、腰膝酸软、便干尿黄评分,统计2组治疗12周内不良反应发生情况.结果 治疗后,2组患者的ER、PR阳性表达率及各项中医症状评分均显著下降且研究组显著低于对照组(P均<0.05),2组患者的VEGF阳性表达率显著升高且研究组显著高于对照组(P<0.05);研究组患者不良反应发生率明显低于对照组(P<0.05).结论 奥美昔芬联合两地汤治疗围绝经期功能失调性子宫出血,能够明显下调PR、ER阳性表达,上调VEGF阳性表达,同时可明显缓解症状.

目的 探讨胎膜早破(premature rupture of membranes,PROM)产妇分娩的新生儿感染情况及综合护理干预效果.方法 回顾性分析2014年3月-2016年1月病例资料齐全的708例胎膜早破产妇的临床资料,观察新生儿感染情况,调查新生儿感染的相关因素;另选取2016年3月-2017年4月收治的胎膜早破产妇122例,随机分为护理A组和B组,各61例,A组针对胎膜早破产妇分娩风险因素进行针对性 、综合护理干预,B组61仅实施常规护理干预,比较两组护理效果.结果 708例PROM产妇分娩的新生儿感染率为4.38％(31/708);PROM病程>48 h的新生儿感染风险最高,随着PROM病程的增长新生儿感染率也将增长,各PROM病程阶段感染风险对比差异性明显(P<0.05),28～32孕周PROM产妇发生新生儿感染风险最高,各PROM病程阶段感染率差异有统计学意义(P<0.05).护理A组PROM产妇破膜临产延长时间为(45.39±14.32)d长于护理B组(P<0.001);护理A组PROM产妇产后出血量为(317.68±31.85)ml和宫内感染率4.92％(3/61)与护理B组比较,差异有统计学意义(P<0.001).护理A组阿氏评分(Apgar)评分 、出生体质量分别为(9.38±0.21)分 、(3.41±0.27)kg高于护理B组(P<0.001);护理A组新生儿窒息 、胎儿窘迫发生率分别为1.64％(1/61)、4.92％(3/61)低于护理B组(P<0.001).结论 胎膜早破病程延长可造成新生儿感染率上升,及时的综合干预护理则能够抑制宫缩,增加胎肺成熟率,减少感染率,改善分娩结局.

Objective To investigate the effects of neuromuscular stimulation promoting blood circulation on the sexual function of perimenopausal women.Methods Eighty women in climacteric period who were treated in our hospital were selected as subjects,and according to the degree of ovarian function decline,they were divided into ovarian function decline group [the level of follicle stimulating hormone (FSH) > 10U/L,group A,n=40] and ovarian function failure group [the levels of FSH > 40U/L and the levels of estradiol(E2) <10~20pg/ml,group B,n=40].The patients in both groups were randomly redivided into group A1,A2,B1 and B2,with 20 patients in each group.The patients in group A1 and group B1 were treated by oryzanol,however,the patients in group A2 and group B2,on the basis of group A1 and group B1 were treated by bionic electrical nerve stimulation to promote blood circulation.The relief status of perimenopausal symptoms and improvement state of sexual function were observed. Moreover the uterine volume,endometrial thickness,ovarian volume, ovarian artery resistance index (RI),ovarian blood flow pulsatility index (PI),ovarian stromal peak systolic velocity (PSV) and ratio of ovarian stromal artery systolic peak velocity(S)/end diastolic velocity(D) were detected.In addition the FSH and E2 levels in peripheral venous blood were detected and compared among groups. Results After 3 treatment courses,the scores of climacteric symptom were decreased in all the groups,moreover,the decrease degree in group A2 and group B2 was significantly higher than that in group A1 and group B1 (P<0.05),besides the scores in group A2 were significantly lower than those in group B2 (P<0.05). After 3 treatment courses,the scores of sexual function scale were increased in all the groups,and the increase degree in group A2 and group B2 was significantly higher than that in group A1 and group B1(P<0.05), moreover,the scores in group A2 were significantly higher than those in group B2 (P<0.05).After 3 treatment courses,the endometrial thickness was increased,however,RI was decreased,and PI,PSV and S/D were significantly increased in group A2,as compared with those in group A1,group B1 and group B2 (P<0.05). Before treatment,FSH levels in group B1 and group B2 were significantly higher than those in group A1 and group A2 (P<0.05),however, E2 levels were significantly lower than those in group A1 and group A2 (P<0.05).After 3 treatment courses,the FSH levels were decreased in group A2 and B2,but E2 levels were significantly increased(P<0.05).In addition the levels of FSH in group A2 were lower than those in group B2,however,the levels of E2 were significantly higher than those in group B2 (P <0.0 5). Conclusion Using bionic electrical nerve stimulation to promote blood circulation can improve the sexual function,relieve climacteric symptoms and regulate estrogen level disorders in menopausal women with ovarian function decline or ovarian function failure. Besides,the improvement degree of ovarian blood supply,sexual function and climacteric symptoms in patients with perimenopausal ovarian function decline is more obvious.

Objective To explore the effect of biofeedback electrical stimulation combined with psychological intervention on postpartum female sexual dysfunction (FSD). Methods From January 2014 to December 2016, 400 patients with postpartum 42 d FSD treated in the Pelvic Floor Rehabilitation Center of our hospital were selected as the research objects. According to the random envelope drawing principle, they were equally divided into observation group and control group with 200 patients in each group. The patients of the control group were given general postpartum health education, those of the observation group were given the biological feedback electrical stimulation combined with psychological intervention, the continuous observation cycles in the two groups were 3 months. Results The pelvic floor muscle strength improvement rate in the observation group was significantly higher than that in the control group (P < 0.05). The early bladder filling volume and the maximum filling volume after treatment in the observation group and the control group were all significantly higher than those before treatment (P < 0.05), while the early bladder filling volume and the maximum filling volume after treatment in the observation group were significantly higher than those in the control group (P < 0.05). The anxiety and depression scores after treatment were significantly lower than those before treatment in both groups (P < 0.05), and the anxiety and depression scores after treatment in the observation group were also significantly lower than those in the control group (P < 0.05). After treatment, the 1-month sexual life frequency and orgasm frequency in the observation group were higher than those in the control group (P < 0.05), and the incidence of coital pain in the observation group was significantly lower than that in the control group (P < 0.05). Conclusions For postpartum FSD, biofeedback electrical stimulation combined with psychological intervention can effectively improve the biological function of the bladder and pelvic muscle strength, alleviate the anxiety and depression of patients, thereby improve the quality of sexual life.

Objective To analyze the effect of nursing intervention on neonatal infection in pregnant women with premature rupture of membranes (PROM).Methods A total of 180 pregnant women with PROM who were admitted and treated in our hospital from August 2015 to January 2017 were enrolled in this study, and these patients were divided into control group (n=90) and observation group (n=90) according to random number table. The patients control group were treated by routine nursing care,whereas the patients in observation group were treated by comprehensive nursing intervention. The incidence rates of neonatal skin and soft tissue infections, respiratory tract infections, conjunctival infections, oral mucosal infections, blood infections, and gastrointestinal tract infections were observed and compared between two groups before and after nursing. In addition, neonatal complications and maternal satisfaction degree were observed.Results After nursing,the neonates in both groups had skin and soft tissue infections, respiratory infections, conjunctival infections, oral mucosal infections, blood infections, and gastrointestinal infections. The total incidence rate was 11.11% in observation group,which was significantly higher than that (32.22%) in control group (P <0. 05). Moreover, the complications including pressure sore, constipation, urinary system infection and pulmonary infection were observed in both groups. The total incidence rate of complications in observation group was 5.56%,which was significantly higher than that(18.89%) in control group (P <0.05). After nursing, the satisfaction scores of newborn health education, maternal and child safety management, daily neonatal guidance, nursing technical operation and breastfeeding guidance in observation group were significantly higher than those in control group(P<0.05).Conclusion The comprehensive nursing intervention for neonates in parturients with PROM can reduce the incidence of neonatal infections and complications,and improve maternal satisfaction degree to the nursing work,which achieves significant effects,therefor,which is worthy of popularization.

目的 探讨盆底康复训练联合护理干预治疗盆底功能障碍性疾病的效果,为临床应用提供依据.方法 盆底功能障碍性疾病患者200例,按入院先后顺序随机分为观察组和对照组,每组100例.对照组仅给予常规盆底康复训练,观察组在其基础上进行护理干预,比较2组患者治疗结束后的盆底肌力改善情况及子宫脱垂、尿失禁和性生活质量的治疗康复情况.结果 治疗后观察组盆底肌力评分1级3例,2级7例,3级32例,4级30例,5级28例.盆底肌力评估3级以上90例,占90%;对照组盆底肌力评分1级18例,2级24例,3级25例,4级20例,5级13例.盆底肌力评估3级以上58例,占58%.观察组盆底肌力改善情况明显优于对照组,比较差异有统计学意义(P<0.05).治疗后观察组子宫脱垂、尿失禁和性生活质量的治疗康复情况均优于对照组,比较差异均有统计学意义(P<0.05).观察组的满意率为96%(96/100),对照组的满意率仅为77%(77/100),观察组满意率明显高于对照组(P<0.05).结论 盆底康复训练联合护理干预治疗盆底功能障碍性疾病疗效显著,患者满意率高,具有临床推广应用价值.

目的 探讨综合护理干预在产后早期盆底功能康复中的应用效果.方法 收集收治的产后6~8周产妇240例,按入院先后顺序随机分为观察组和对照组,每组120例.对照组给予常规护理,观察组实施综合性护理干预,主要措施有心理干预、健康教育、生活干预和盆底功能康复训练.比较2组产妇护理后子宫脱垂分级情况、盆底肌力评定情况、尿粪失禁和性生活满意率.结果 观察组子宫脱垂分级情况好于对照组,盆底肌力恢复情况优于对照组,差异均有统计学意义(P<0.05).观察组产后压力性尿失禁和粪失禁发生率均低于对照组,差异有统计学意义(P<0.05).观察组对性生活满意106例,占88.33%,对照组对性生活满意65例,占54.17%;观察组的性生活满意率高于对照组,差异有统计学意义(P<0.05).结论 实施综合护理干预可有效促进产后早期盆底功能康复,改善其生活质量,具有临床推广应用价值.

<正>患者,女,27岁,于2009年5月5日10∶00入院。于3d前无明显诱因出现头晕、伴耳鸣,周身无力,食欲不佳,大便次数多,稀便,3次/d,无脓血便,无腹痛,无明显心悸,未予以诊治。