基于早期预警评分的重度子痫前期患者三级护理管理方案构建与实施

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【关键词】重度子痫前期;早期预警评分；三级管理；母婴不良结局;持续改进

中图分类号：R473.71 文献标识码：A DOI： 10.3969/j .issn.1006-7256.2026.03.006 文章编号：1006-7256（2026）03-0022-04

Constructionandimplementationofathre-levelnursingmanagementprogramforpatientswithseverepreclampsiabasedonearlyarin scores

FangDiping，Lu Caiyun，WuXiaoyun （TheFirst Affiliated Hospital of Anhui Medical University，Hefei 23Oo88，China）

【Abstract】Objective：Toconstructandimplementathre-levelnursing management programforsevere prelampsia（SPE）patients basedonthe ModifiedObstetricEarly WaingScore（MOEWS），andevaluateitsimpactonperinataloutcomes.Methods：Aquasi-experimentaldesignasdoptedandatotalofpatietsithSE，admitedfroJanuary23tDcember4erecosecuielycudedanddividedintoacontrolgroupandanexperimentalgroupacodingtoteorderofadmissonith6Ocasesinchgoup.ecotrol groupreceivedoutineperinatalcare，hileteexperimentalgoupwasaditionall provideddynamicrisk assessmentusing MOEWSand receivedthre-levelnursingmanagement.Thentheperinataloutcomes werecomparedbetwenthetwogroups.Results：Theincidenceof postpartumhemorage，placentalabruption，HELPsyndromeandneonatalasphyxiaintheexperimentalgroupwaslower thantoseinth control group（ P<0.05 ，P<0.01）;the 1-minute Apgar score of neonates in the experimental group was higher than that in the control group （ P<0.01 ）;and the prolonged gestational age in the experimental group was longer than that in the control group（ P<0.05. ）. Conclusion： Thethree-levelnursing managementprogrambasedon MOEWScanefectivelyreducetheocurrenceofseverecomplicationsinpatients with SPE，improve neonatal status and prolong gestational age.

Key words】 Severe preecampsia;Earlywarning score;Thre-level management;Adverseperinatal outcomes;Continuous improvemen

重度子痫前期（SPE）主要表现为高血压、下腹部疼痛、心力衰竭等症状，是一种以多器官系统功能损害为特征的全身性疾病，全球有 2%～8% 孕妇发生SPE[1]。（剩余6606字）