预见性护理对妊娠期肝内胆汁淤积症临床效果、妊娠结局及TBIL水平的影响

The Effect of Predictive Nursing on theClinical Effect of Intrahepatic Cholestasisof Pregnancy, the Outcome of Pregnancyand the Level of TBIL

摘要: 目的：分析妊娠期肝内胆汁淤积症应用预见性护理的效果及对妊娠结局、TBIL水平的影响。方法：选择我院2016年2月~2018年2月诊治的72例妊娠期肝内胆汁淤积症患者，随机分成研究组(36例)和对照组(36例)。对照组接受常规护理，研究组进行预见性护理，比较两组护理效果。结果：研究组护理后TBIL (13.74 ± 3.26) μmol/L、TBA (10.25 ± 2.43) μmol/L、AST (54.32 ± 11.74) U/L、ALT (40.56 ± 8.67) U/L优于对照组的(17.37 ± 5.70) μmol/L、(49.47 ± 10.81) U/L、(13.58 ± 3.78) μmol/L和(71.84 ± 11.97) U/L，比较差异具有统计学意义(P < 0.05)；研究组SDS (37.56 ± 8.73)分、SAS (36.81 ± 7.23)分，低于对照组，比较差异具有统计学意义(P < 0.05)；研究组早产8.33%、胎儿宫内窘迫2.78%、剖宫产30.56%等妊娠结局均优于对照组，比较差异具有统计学意义(P < 0.05)；研究组满意度97.22%高于对照组的77.78%，比较差异具有统计学意义(P < 0.05)。结论：预见性护理在妊娠期肝内胆汁淤积症护理中的应用效果显著，可明显降低TBIL水平，改善患者的心理状态，改善妊娠结局，且患者满意度高。

Abstract: Objective: To analyze the effect of predictive nursing on intrahepatic cholestasis of pregnancy and its effect on the outcome of pregnancy and TBIL. Methods: 72 patients with intrahepatic cholestasis of pregnancy were randomly divided into the research group (36 cases) and the control group (36 cases). The control group received routine nursing, and the study group performed the predictive nursing; nursing effects of the two groups were compared. Results: TBIL (13.74~3.26) μmol/L, TBA (10.25~2.43) μmol/L, AST (54.32 ± 11.74) U/L, ALT (40.56 ± 8.67) U/L of the study group after nursing were better than those of the control group [(17.37 ± 5.70) μmol/L, (49.47 ± 10.81) U/L, (13.58 ± 3.78) μmol/L and (71.84 ± 11.97) U/L, respectively]. The difference was statistically significant (P < 0.05). In the study group, the SDS score was (37.56 ± 8.73), and the SAS score was (36.81 ± 7.23) which were significantly lower than those in the control group; there was a significant difference between the two groups (P < 0.05). Premature birth accounted for 33%, fetal distress 2.78%, and cesarean section 30.56% of the research group, which were all better than those of control group (P < 0.05). The satisfaction rate of the study group was 97.22%, which was significantly higher than that of the control group (77.78%), having a statistically significant difference (P < 0.05). Conclusion: Predictive nursing is effective in the nursing of intrahepatic cholestasis of pregnancy. It can obviously reduce the level of TBIL, improve the mental state of the patients, and improve the outcome of pregnancy, and the satisfaction of the patients is high.