“三定”急救护理在异位妊娠破裂出血患者中的应用

Abstract
Figure/Table
References (25)
Related Citation (15)

Download: PDF (680 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the application of “three fixed” emergency care of rupture and bleeding in patients with ectopic pregnancy. Methods From January 2018 to January 2020, 60 EP patients with rupture and bleeding treated in Beijing Obstetrics and Gynecology Hospital, Capital Medical University were selected. According to the random number table method, they were divided into control group and observation group, with 30 cases in each group. The observation group was received “three fixed” emergency care, and the control group was received routine emergency care. The rescue success rate and first aid time were compared between the two groups. The shock index of the two groups was compared after intervention. Activated partial thromboplastin time (APTT) and prothrombin time (PT) were compared before and after intervention. Results There was no significant difference in the rescue success rate between the two groups (P ＞ 0.05); the total emergency rescue time and rescue time of observation group were shorter than those of control group (all P ＜ 0.05), the shock index after intervention was better than that of the control group (P ＜ 0.05), APTT and PT were shorter than those before intervention, and the observation group was shorter than the control group (all P ＜ 0.05). Conclusion “Three fixed” emergency care can improve the rescue success rate of EP patients with rupture and bleeding to a certain extent, shorten the emergency time, prevent shock and improve the coagulation function of patients.

Key words： Ectopic pregnancy Rupture and bleeding “Three fixed&rdquo emergency care Rescue success rate Shock index Coagulation function

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	LYU Yuanwei DONG Miao

Cite this article:

LYU Yuanwei DONG Miao. Application of “three fixed” emergency care of rupture and bleeding in patients with ectopic pregnancy[J]. 中国医药导报, 2021, 18(10): 180-183.

URL:

https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I10/180

[1] Weant KA，Bailey AM，Baum RA，et al. Chemotherapy in the Emergency Department There Is a Role for That：Methotrexate for Ectopic Pregnancy [J]. Adv Emerg Nurs J，2017，39（1）：18-25.
[2] Bauman R，Horvat G. Management of Ruptured Corpus Luteum With Hemoperitoneum In Early Pregnancy-A Case Report [J]. Acta Clin Croat，2018，57（4）：785-788.
[3] 许秀君，周美玲，沈华娟，等.“三定”管理模式对诱导透析患者并发症的影响[J].护士进修杂志，2017，32（4）：344-345.
[4] 吴莉，施叶萍，李婷婷.维持性血透诱导期三定护理管理法应用效果观察[J].临床护理杂志，2019，18（6）：49-51.
[5] 曹晓东，许正红，吉建伟，等.以“三定”管理为核心的护士岗位管理实践[J].护理研究，2017，31（26）：3297-3300.
[6] 谢幸，苟文丽.妇产科学[M].8版.北京：人民卫生出版社，2013：42-57.
[7] Schellenberg M，Strumwasser A，Grabo D，et al. Delta Shock Index in the Emergency Department Predicts Mortality and Need for Blood Transfusion in Trauma Patients [J]. Am Surg，2017，83（10）：1059-1062.
[8] 袁烁，沈秋娴，卢如玲，等.留置宫内节育器与异位妊娠发生关系的Meta分析[J].中国医药导报，2019，16（30）：93-96.
[9] 杨雅琦，王宜，拓福娟，等.异位妊娠发病的相关危险因素分析[J].中国医药导报，2016，13（8）：88-91.
[10] Karasu Y，Akselim B. Feasibility of single-incision laparoscopy for ruptured ectopic pregnancies with hemoperitoneum [J]. Minim Invasive Ther Allied Technol，2019， 28（1）：46-50.
[11] Robertson JJ，Long B，Koyfman A. Emergency Medicine Myths：Ectopic Pregnancy Evaluation，Risk Factors，and Presentation [J]. J Emerg Med，2017，53（6）：819-828.
[12] Xu SJ，Song XH，Jin CJ. Tubal choriocarcinoma presented as ruptured ectopic pregnancy：a case report and review of the literature [J]. World J Surg Oncol，2020，18（1）：145.
[13] Swiniarski M，Sadkowska M，Roman G，et al. Heterotopic pregnancy-case report [J]. Wiad Lek，2020，73（4）：828-830.
[14] Hendriks E，Rosenberg R，Prine L. Ectopic Pregnancy：Diagnosis and Management [J]. Am Fam Physician，2020，101（10）：599-606.
[15] 关格雪，冯俏娟，梁进霞."三定"急救护理在宫外孕破裂大出血患者抢救中的应用[J].齐鲁护理杂志，2020， 26（8）：60-62.
[16] 杨伟红，邵招凤.异位妊娠大出血患者的临床急救与护理[J].护士进修杂志，2019，34（17）：1600-1601.
[17] 刘晶.急诊宫外孕患者流程化护理抢救措施的应用及预后分析[J].实用临床医药杂志，2018，22（8）：85-88.
[18] 乔晓红.针对性急救与护理对急诊宫外孕患者疼痛程度治疗情况不良事件情况护理工作满意度的作用[J].中国药物与临床，2019，19（19）：3438-3439.
[19] 丁小花，魏琴.文献检索式护理证据应用对异位妊娠手术患者围术期应激水平及病情康复的影响[J].西部中医药，2019，32（5）：127-130.
[20] 陈俞睿.探讨宫外孕患者急诊抢救的护理方法及效果[J].北京医学，2017，39（8）：871-872.
[21] 王海宏，张冬梅.精准护理对异位妊娠手术患者的影响研究[J].护理实践与研究，2018，15（24）：110-112.
[22] Falay M，Senes M，Korkmaz S，et al. Biological variation estimates of prothrombin time，activated partial thromboplastin time，and fibrinogen in 28 healthy individuals [J]. Int J Lab Hematol，2018，40（6）：721-725.
[23] Beatriz M，Beatriz P，Rita C，et al. Effect of Pre-analytical Conditions on Prothrombin Time and Partial Activated Thromboplastin Time [J]. Curr Pharm Biotechnol，2019，20（4）：327-331.
[24] Kitchen S，Geisen U，Kappelmayer J，et al. Evaluating the analytical performance of five new coagulation assays for the measurement of prothrombin time and activated thromboplastin time [J]. Int J Lab Hematol，2018，40（6）：645-654.
[25] Kong FJ，Li YB，Liu XX. Effect and clinical value of coagulation test on adverse reactions of blood transfusion in patients with major bleeding in ectopic pregnancy [J]. Exp Ther Med，2018，16（6）：4712-4716.