妊娠梅毒母嬰阻斷治療效果及護理分析

刁明芳

[摘要] 目的 分析妊娠梅毒孕婦接受母嬰阻斷治療以及護理干預的效果。 方法 回顧性分析2016年2月—2018年10月在該院接受妊娠梅毒母嬰阻斷治療的孕婦，該研究方便選取62例并經隨機抽簽法分為兩組，探析組（n=31）和參考組（n=31）孕婦均接受母嬰阻斷治療以及病情觀察等常規護理，同時給予探析組孕婦綜合性護理干預措施。 結果 探析組足月活產率明顯高于參考組，兩組孕婦足月活產率差異有統計學意義（χ2=13.299，P<0.05），探析組孕婦不良妊娠結局總發生率為9.68%，參考組孕婦為25.81%，兩組不良妊娠結局總發生率差異有統計學意義（χ2=9.254，P<0.05）。參考組25例孕婦依從性較好，6例孕婦依從性不佳，治療依從性為80.65%，探析組30例孕婦依從性較好，1例孕婦依從性不佳，治療依從性為96.77%，探析組孕婦治療依從性明顯更高，兩組差異有統計學意義（χ2=7.812，P<0.05）。 結論 妊娠梅毒孕婦接受母嬰阻斷治療以及綜合性護理干預有助于提高孕婦治療依從性并改善母嬰結局以及新生兒預后，可提升人口素質。

[關鍵詞] 妊娠;梅毒;母嬰阻斷;治療與護理效果

[中圖分類號] R473.71? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 1674-0742（2019）07（c）-0130-03

Therapeutic Effect and Nursing Analysis of Maternal and Child Blockade of Syphilis in Pregnancy

DIAO Ming-fang

Department of Preventive Health， Xuyi Hospital of Traditional Chinese Medicine， Huai'an， Jiangsu Province， 211700 China

[Abstract] Objective To analyze the effect of maternal and child blockade treatment and nursing intervention on pregnant women with syphilis. Methods A retrospective analysis of pregnant women who received maternal and fetal meiosis in pregnant women from February 2016 to October 2018 was conveniently selected in this study. A total of 62 patients were enrolled in this study and divided into 2 groups by random sampling. The probing group （n=31） and the reference group （n=31） received routine care such as maternal and child blockade treatment and condition observation， and comprehensive nursing intervention measures were given to the pregnant women in the probing group. Results The full-term live birth rate of the probing group was significantly higher than that of the reference group. There was a statistically significant difference in the live birth rate between the two groups （χ2=13.299， P<0.05）. The total incidence of adverse pregnancy outcomes in the prognosis group was 9.68%. The reference group of pregnant women was 25.81%， and the total incidence of adverse pregnancy outcomes in the two groups was statistically significant （χ2=9.254， P<0.05）. In the reference group， 25 pregnant women had better compliance， 6 pregnant women had poor compliance， and the treatment compliance was 80.65%. In the probing group， 30 pregnant women had good compliance， and 1 pregnant woman had poor compliance. The treatment compliance was 96.77%. The treatment compliance of the pregnant women in the analysis group was significantly higher， and the difference between the two groups was statistically significant （χ2=7.812， P<0.05）. Conclusion Maternal and child blockade treatment and comprehensive nursing intervention for pregnant women with syphilis can improve the treatment compliance of pregnant women and improve maternal and child outcomes and neonatal prognosis， which can improve the quality of the population.