摘要
目的 本研究旨在探讨针对性急救护理干预在异位妊娠破裂患者手术室护理中的应用价值。方法 采用回顾性研究设计,纳入2024年6月至2024年12月收治的50例患者为观察组,与2024年6月之前的50例患者(常规组)对比观察两组的术前准备时间、手术时间、术中出血量以及并发症发生率。观察组实施包含快速预警响应、标准化急救流程、主动保温、心理危机干预及团队模拟演练的整合护理方案。结果 观察组术前准备时间、手术时间显著短于对照组;术中出血量低于对照组;术后并发症发生率显著低于对照组,组间差异均具统计学意义(P<0.05)。结论 针对性急救护理可优化手术效率,改善患者预后,为急重症妇产科护理提供有效路径。
关键词: 异位妊娠破裂;急救护理;针对性护理;多学科协作;标准化流程
Abstract
Objective This study aims to explore the application value of targeted emergency nursing intervention in the surgical room nursing of patients with ectopic pregnancy rupture. Methods A retrospective study design was adopted, with 50 patients admitted from June 2024 to December 2024 as the observation group. The preoperative preparation time, surgical time, intraoperative blood loss, and incidence of complications were compared between the two groups and 50 patients before June 2024 (conventional group). The observation group implements an integrated nursing plan that includes rapid warning response, standardized emergency procedures, proactive insulation, psychological crisis intervention, and team simulation exercises. Results The preoperative preparation time and surgical time of the observation group were significantly shorter than those of the control group; The intraoperative blood output was lower than that of the control group; The incidence of postoperative complications was significantly lower than that of the control group, and the differences between the groups were statistically significant (P<0.05). Conclusion Targeted emergency nursing can optimize surgical efficiency, improve patient prognosis, and provide an effective path for obstetric and gynecological nursing in urgent and severe cases.
Key words: Ectopic pregnancy rupture; Emergency care; Targeted nursing; Multidisciplinary collaboration; Standardized process
参考文献 References
[1] 云永子,刘宇杰,陶阳,等.经阴道超声联合腹部超声诊断异位妊娠临床价值分析[J].医学影像学杂志,2022,32(01): 172-175.
[2] 浦红丽,陈小萍,吴晓芹,等.构建手术室标准化急救流程对异位妊娠破裂患者急救效果的影响[J].中国计划生育学杂志,2023,31(10):2398-2400+2404.
[3] 申艳.针对性急救护理干预在异位妊娠破裂患者手术室护理中的作用[J].中华灾害救援医学,2020,8(10):596-598.
[4] 陈志华,吴杰,田文艳,等.输卵管间质部妊娠诊治的中国专家共识(2022年版)[J].中国实用妇科与产科杂志, 2022, 38(03):290-295.
[5] 申艳.针对性急救护理干预在异位妊娠破裂患者手术室护理中的作用[J].中华灾害救援医学,2020,8(10):596-598.
[6] 何丹.在异位妊娠破裂患者手术室护理中应用针对性急救护理干预的效果观察[J].中国社区医师,2019, 35(11): 130.
[7] 陈火惠,林志琼,曹慧娟,等.针对性急救护理干预在异位妊娠破裂患者手术室护理中的作用[J].中华灾害救援医学,2025,12(01):117-120.
[8] 陈火惠,林志琼,曹慧娟,等.针对性急救护理干预在异位妊娠破裂患者手术室护理中的作用[J].中华灾害救援医学,2025,12(01):117-120.