摘要
目的:观察对重症孕产妇实施快速反应团队(RRT)工作模式的干预效果。方法:回顾性收集2021年10月-2022年10月开展常规护理模式的148例重症孕产妇临床资料纳入对照组,2022年11月-2023年11月开展RRT工作模式的152例重症孕产妇临床资料纳入观察组。比较两组抢救效率、救治结局、新生儿情况、重症孕产妇并发症。结果:观察组处理时间(22.6±4.0min)、抢救情况(10.5%)、剖宫产率(35.5%)、新生儿死亡率(0)、ICU入住率(2.0%)、住院时间(7.56±1.34d)、并发症总发生率(2.6%)均少于对照组(33.0±4.5min、18.9%、52.0%、4.1%、27.7%、10.86±3.33d、12.2%),预警情况(40.1%)、有效处理率(98.0%)、5minApagar评分(8.74±0.58分)、脐带血pH值(7.64±1.96)高于对照组(27.7%、81.8%、8.46±0.64分、4.96±1.34)(均P<0.05),两组孕产妇死亡率、新生儿1minApagar评分无差异(P>0.05)。结论:RRT工作模式可提高重症孕产妇的抢救效率,改善救治结局、新生儿情况。
Objective:To observe the intervention effect of the rapid response team(RRT)work mode for treating crit-ically ill pregnant women.Methods:A retrospective analysis was conducted on the clinical data of 148 critically ill pregnant women who underwent routine nursing from October 2021 to October 2022(in control group)and 152 criti-cally ill pregnant women who underwent RRT work mode from November 2022 to November 2023(in observation group).The rescue efficiency,the treatment outcomes,the newborn condition and the maternal complications were compared between the two groups.Results:The treatment time(22.6±4.0 min),the rescue success rate(10.5%),the cesarean section rate(35.5%),the neonatal mortality rate(0),the rate of entering ICU(2.0%),the hospitaliza-tion time(7.56±1.34d),and the total incidence of complications(2.6%)of the women in the observation group were significantly lower than those(33.0±4.5min,18.9%,52.0%,4.1%,27.7%,10.86±3.33d and 12.2%)of the women in the control group.The early warning rate(40.1%)and the effective treatment rate(98.0%)of the women,and the 5min Apgar score(8.74±0.58 point)and the umbilical cord blood pH value(7.64±1.96)of the neonates in the observation group were significantly higher than those(27.7%,81.8%,8.46±0.64 points and 4.96±1.34)in the control group(all P<0.05).There were no significant differences in the maternal mortality rate and the neonatal Ap-gar score at 1min after birth between the two groups(P>0.05).Conclusion:RRT work mode can improve the rescue efficiency of the critically ill pregnant women,which can improve the treatment outcomes and neonatal conditions.
作者
吕红
高文婷
LV Hong;GAO Wenting(Nanjing Hospital Affiliated to Nanjing Medical University,Nanjing First Hospital,Jiangsu Province,210006)
出处
《中国计划生育学杂志》
2024年第2期356-359,共4页
Chinese Journal of Family Planning
关键词
重症孕产妇
快速反应团队工作模式
抢救效率
救治结局
护理
Critically ill pregnant women
Rapid response team work mode
Rescue efficiency
Treatment outcome
Nursing
