全程護理干預在IVF-ET取卵術高血壓患者中的應用效果

潘慧玲 鄒麗娜 李穗萍

摘要：目的 ?探討護理干預對體外受精-胚胎移植（IVF-ET）取卵術中出現高血壓的患者的作用及影響。方法 ?選擇2018年5月2日～2019年1月1日在我院生殖中心行IVF-ET取卵術中出現高血壓的112例患者作為研究對象，將其隨機分為對照組與研究組，各56例。對照組給予常規護理，研究組在此基礎上給予全程護理干預，比較兩組血壓異常率、心腦血管意外發生率及患者的護理滿意度。結果 ?兩組患者術程順利，均未發生心腦血管意外;研究組血壓異常率為1.79%，低于對照組的21.43%，差異有統計學意義（P<0.05）;研究組護理滿意度為98.21%，高于對照組的83.93%，差異有統計學意義（P<0.05）。結論 ?對于IVF-ET取卵術中出現高血壓的患者采用全程護理干預能保證患者的安全及手術質量，可降低患者血壓異常的發生率，護理安全性較高。

關鍵詞：高血壓;IVF-ET取卵術;護理干預

中圖分類號：R473.71 ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?文獻標識碼：A ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?DOI：10.3969/j.issn.1006-1959.2020.17.054

文章編號：1006-1959（2020）17-0176-03

Abstract：Objective ?To explore the effect and influence of nursing intervention on patients with hypertension during in vitro fertilization-embryo transfer （IVF-ET） egg retrieval.Methods ?112 patients with hypertension during IVF-ET egg retrieval in our hospital's reproductive center from May 2， 2018 to January 1， 2019 were selected as the research objects， and they were randomly divided into control and study groups. 56 cases each. The control group was given routine nursing care， and the study group was given full nursing intervention on this basis. The abnormal blood pressure rate， the incidence of cardiovascular and cerebrovascular accidents and the patients' nursing satisfaction were compared between the two groups.Results ?The operation procedure of the two groups was smooth， and no cardio-cerebrovascular accident occurred. The abnormal blood pressure rate of the study group was 1.79%， which was lower than 21.43% of the control group，the difference was statistically significant （P<0.05）; 98.21%， higher than 83.93% in the control group， the difference was statistically significant （P<0.05）.Conclusion ?For patients with hypertension during IVF-ET egg retrieval， the whole-course nursing intervention could ensure the safety of the patients and the quality of the operation， reduce the incidence of abnormal blood pressure， and had a higher nursing safety.

Key words：Hypertension;IVF-ET egg retrieval;Nursing intervention

隨著國家二胎政策的開放，越來越多的高齡女性為生育尋求輔助生殖技術的幫助。目前，隨著醫療技術日益進步，輔助生殖技術的成功率不斷上升，極大地提高了不孕患者的妊娠率[1]。在體外授精-胚胎移植（IVF-ET）治療過程中，取卵手術是不可或缺的一個環節。但由于年齡的增加，多臟器功能趨于衰老， 罹患內科疾病的風險如高血壓等疾病進行性增加，嚴重的高血壓則無法耐受輔助生殖手術[2]。因患者本身患有高血壓病、或因為情緒緊張、焦慮、等因素導致血壓一過性的增高，或因術中創傷、麻醉等因素導致血壓升高，均會增加IVF-ET手術并發癥的風險，因此對IVF-ET取卵術中出現高血壓的患者進行護理干預是非常有必要的。現對我院生殖中心在取卵術中血壓升高幅度大于基礎血壓30%，或收縮壓≥140 mmHg（或）舒張壓≥90 mmHg（1 mmHg=0.133 kPa）[3]的患者進行護理干預，分析其圍手術期并發癥等情況，報道如下。……