摘要
目的探讨超声指导监测液体管理应用于重度子痫前期患者的价值。方法选取2022年1月至2024年1月九江市妇幼保健院收治的60例重度子痫前期患者作为研究对象,按照随机数字表法分为对照组(30例)与观察组(30例),两组均加强基础治疗,对照组采用常规监护方法,观察组采用超声指导监测液体管理,比较两组的水肿临床疗效、体液管理与体液平衡情况、并发症、术后住院时间。结果观察组的水肿治疗总有效率高于对照组,差异有统计学意义(P<0.05);观察组的冲击试验液体量、总入液量、尿量均低于对照组,差异有统计学意义(P<0.05);观察组的并发症总发生率低于对照组,差异有统计学意义(P<0.05);观察组的术后住院时间短于对照组,差异有统计学意义(P<0.05)。结论对重度子痫前期患者加强超声指导监测液体管理,便于改善水肿症状,降低并发症,缩短住院时间,临床应用价值较高。
Objective To investigate the value of ultrasound-guided monitoring fluid management in patients with severe preeclampsia.Methods A total of 60 patients with severe preeclampsia admitted to Jiujiang Maternal and Child Health Hospital from January 2022 to January 2024 were selected as research objects,and they were divided into control group(30 cases)and observation group(30 cases)according to random number table method.Basic treatment was strengthened in both groups,the control group received routine monitoring methods,and the observation group received ultrasonic guidance to monitor fluid management.The clinical effect of edema,fluid management and fluid balance,complications and postoperative hospital stay were compared between the two groups.Results The total effective rate of edema treatment in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).The impact test fluid volume,total fluid intake and urine volume of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The total complication rate of observation group was lower than control group,the difference was statistically significant(P<0.05).The postoperative hospitalization time in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Strengthening ultrasound guidance monitoring fluid management in patients with severe preeclampsia can improve edema symptoms,reduce complications,shorten hospital stay,and have high clinical application value.
作者
王炬光
余平平
杜玉丹
杨敏
余红丽
陈金霞
张艳
段昭颖
WANG Juguang;YU Pingping;DU Yudan;YANG Min;YU Hongli;CHEN Jinxia;ZHANG Yan;DUAN Zhaoying(Department of Obstetrics and Gynecology,Jiujiang Maternal and Child Health Hospital,Jiangxi Province,Jiujiang 332000,China;Department of Function Diagnostic,Jiujiang Maternal and Child Health Hospital,Jiangxi Province,Jiujiang 332000,China)
出处
《中国当代医药》
2025年第2期67-70,共4页
China Modern Medicine
基金
江西省卫生健康委科技计划项目(202211917)。
关键词
重度子痫前期
超声
监测
液体管理
Severe preeclampsia
Ultrasound
Monitor
Liquid management
