剖宫产术后新体位对产妇留置尿管的影响  

Effect of new position after cesarean section on indwelling catheter

作　　者：庄倩[1] 赵作华[1] 田亚男[1] 

机构地区：[1]河北省唐山市妇幼保健院,063000

出　　处：《中国妇幼保健》2010年第3期313-314,共2页Maternal and Child Health Care of China

基　　金：河北省唐山市科技局临床医学研究计划资助项目(08130204A-1-23)

摘　　要：目的:对剖宫产术后体位及活动指导进行改良,探讨其对术后膀胱功能恢复的影响。方法:将2007年3月～2009年3月在硬膜外麻醉剖宫产产妇256例随机分为观察组和对照组,观察组采用术后新体位及运动程序,对照组采用传统术后护理体位和活动方法。结果:观察组留置尿管时间、第一次排尿时间、尿路症状明显低于其对照组(P<0.01);观察组膀胱感知功能、排尿功能恢复优于对照组(0.01<P<0.05);观察组产妇舒适度明显优于对照组(P<0.01)。结论:改进剖宫产术后体位,通过主动的护理干预缩短了留置尿管时间,减少并发症及增加病人舒适感。Objective： To improve the postures and activities guide after cesarean.section, and explore the impact on the restoration of bladder rehabilitation. Methods： 256 women after cesarean section with epidural anesthesia from March 2007 to March 2009 were divided into observation group and control group. Women in observation group adopted new position and exercise process after cesarean section, while women in control group adopted conventional position and exercise process after cesarean section. Results： The time of keeping urinary catheter, the first urination time and urinary symptoms in observation group were significantly lower than those in control group （P 〈 0.01 ） . The bladder perceptive function and recovery of urination function in observation group were much better than those in control group （0. 01 〈 P 〈 0. 05 ） . The comfort level in observation group was much better than that in control group （ P 〈 0. 01 ） . Conclusion： Improving the postures after cesarean section and active nursing intervention may shorten the time of keeping urinary catheter, reduce the incidence of complications and increase comfort of patients.

关 键 词：剖宫产 体位 留置尿管 

分 类 号：R719.8[医药卫生—妇产科学]