临床护理干预对子宫收缩乏力产妇分娩及产后出血的影响研究  

Study on the Effect of Clinical Nursing Intervention on Delivery and Postpartum Hemorrhage of Parturients with Weak Uterine Contraction

作　　者：许妍 XU Yan(Yingkou Maternity and Children's Hospital,Yingkou 115000,China)

机构地区：[1]营口市妇产儿童医院,辽宁营口115000

出　　处：《中国医药指南》2022年第36期50-53,共4页Guide of China Medicine

摘　　要：目的 论提升宫缩乏力产后出血产妇自然分娩率、降低产后出血发生率的有效护理。方法 对2019年5月至2020年10月来我院分娩的84例宫缩乏力产妇通过随机抽签方法分为观察组(42例)和对照组(42例)。分别对两组产妇通过综合护理(观察组)和常规护理(对照组)进行干预,比较效果。结果 (1)观察组的治疗有效率(40例,占95.24%)明显比对照组(35例,占83.33%)高,数据之间有显著的统计学差异(P <0.05)。(2)观察组护理后的出血量、输血量明显少于对照组,止血有效时间、恶露持续时间、住院时间明显短于对照组,宫底下降速度明显比对照组快,数据之间有显著的统计学差异(P <0.05)。(3)两组患者护理前血氧饱和度、舒张压和收缩压水平无差异(P> 0.05),护理后均有所改善,但观察组的改善效果比对照组更好,数据之间有显著的统计学差异(P <0.05)。(4)产前,两组患者的焦虑和抑郁情绪之间无差异(P> 0.05),产后,观察组患者的焦虑和抑郁情绪改善效果优于对照组,数据之间有显著的统计学差异(P <0.05)。(5)观察组(1例,占2.38%)护理后产妇的并发症发生率明显低于对照组(9例,占21.43%),数据之间有显著的统计学差异(P <0.05)。(6)观察组(41例,占97.62%)护理之后的满意度比对照组(34例,占80.95%)更高,数据之间有显著的统计学差异(P <0.05)。结论 临床对子宫收缩乏力的产妇在分娩的时候配合综合护理能够有效的提升对产后出血治疗的有效率,改善产后出血的主要症状,减少出血量,维持产妇的血压水平,改善其负面情绪,缓解出现并发症的概率,提高整体满意度,值得推荐。Objective To discuss the effective nursing to increase the natural delivery rate and reduce the incidence of postpartum hemorrhage in postpartum hemorrhage women with uterine atony.Methods A total of 84 puerperae with uterine atony who came to our hospital to give birth from May 2019 to October 2020 were randomly divided into observation group(42 cases) and control group(42 cases).The two groups of puerperae were intervened through comprehensive nursing(the observation group) and routine nursing(the control group),and the effects were compared.Results(1) The effective rate of treatment in the observation group(40 cases,accounting for 95.24%) was significantly higher than that in the control group(35 cases,accounting for 83.33%),and there was a significant statistical difference between the data(P0.05),and they were all improved after nursing,but the improvement effect of the observation group was better than that of the control group better,there was a significant statistical difference between the data(P0.05),and after childbirth,the anxiety and depression of the observation group patients the improvement effect were better than that of the control group,and there was a significant statistical difference between the data(P<0.05).(5) The incidence of complications of puerperae in the observation group(1 case,accounting for 2.38%) after nursing was significantly lower than that in the control group(9 cases,accounting for 21.43%),there was a significant statistical difference between the data(P<0.05).(6) The observation group(41 cases,accounting for 97.62%) was more satisfied after nursing than the control group(34 cases,accounting for 80.95%) was higher,and there was a significant statistical difference between the data(P<0.05).Conclusion The clinical treatment of uterine atony puerperae with comprehensive nursing during childbirth can effectively improve the efficiency of postpartum hemorrhage treatment,improve the main symptoms of postpartum hemorrhage,reduce the amount of bleeding,maintain maternal blood pressu

关 键 词：综合护理 子宫收缩乏力 分娩 自然分娩 产后出血 满意度 

分 类 号：R473.71[医药卫生—护理学]