基于快速康复外科理念的康复干预在剖宫产产妇中的应用效果研究  

Study on effect of rehabilitation intervention based on fast-track surgery concept in parturients undergoing cesarean section

作　　者：庄淑惠 蔡鑫娟 龚小琴 ZHUANG Shu-hui;CAI Xin-juan;GONG Xiao-qin(Special Obstetrical and Gynecological Ward,Xiamen Maternal and Child Health Hospital,Xiamen 361000,China)

机构地区：[1]厦门市妇幼保健院妇产科特需病区,361000 [2]厦门市妇幼保健院急诊科,361000

出　　处：《中国现代药物应用》2023年第21期153-156,共4页Chinese Journal of Modern Drug Application

摘　　要：目的 观察基于快速康复外科理念的康复干预在剖宫产产妇中的应用效果。方法 62例行剖宫产的产妇,以随机数字表法分为对照组及观察组,各31例。对照组采用常规康复干预,观察组采用基于快速康复外科理念的康复干预。对比两组产妇产后胃肠功能恢复时间(肠鸣音恢复时间、通便时间、排气时间),泌乳情况(初乳时间、24 h内哺乳次数、术后第2天泌乳量),干预前后的心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分。结果 观察组肠鸣音恢复时间(21.35±2.07)h、排气时间(18.16±2.31)h、通便时间(1.21±0.35)d均短于对照组的(24.68±2.21)h、(23.18±2.47)h、(2.18±0.41)d,差异具有统计学意义(P<0.05)。观察组初乳时间(27.63±3.01)h短于对照组的(35.11±3.18)h, 24 h内哺乳次数(7.54±1.21)次、术后第2天泌乳量(192.17±15.33)ml多于对照组的(5.18±1.03)次、(153.28±15.21)ml,差异具有统计学意义(P<0.05)。干预前,两组SAS、SDS评分对比,差异无统计学意义(P>0.05);干预后,两组SAS、SDS评分均低于本组干预前,且观察组SAS评分(40.18±1.12)分、SDS评分(39.14±0.47)分低于对照组的(48.31±1.21)、(48.25±1.18)分,差异具有统计学意义(P<0.05)。结论 基于快速康复外科理念的康复干预应用于剖宫产产妇中,可促进产妇胃肠功能恢复,改善泌乳情况及负面情绪。Objective To observe the effect of rehabilitation intervention based on fast-track surgery concept in parturients with cesarean section.Methods A total of 62 parturients undergoing cesarean section were divided into the control group and the observation group according to the random numerical table,with 31 cases in each group.The control group received routine rehabilitation intervention,and the observation group received rehabilitation intervention based on fast-track surgery concept.Both groups were compared in terms of postpartum gastrointestinal function recovery time(recovery time of bowel sounds,defecation time,exhaust time),lactation status(time of colostrum discharge,number of lactation within 24 h,milk production on the 2nd day after surgery),and psychological state[self-rating anxiety scale(SAS)and self-rating depression scale(SDS)]scores before and after intervention.Results In the observation group,the recovery time of bowel sounds was(21.35±2.07)h,the exhaust time was(18.16±2.31)h and the defecation time was(1.21±0.35)d,which were shorter than those of(24.68±2.21)h,(23.18±2.47)h and(2.18±0.41)d in the control group.The difference were statistically significant(P<0.05).The time of colostrum discharge of(27.63±3.01)h in the observation group was shorter than that of(35.11±3.18)h in the control group;in the observation group,the number of lactation within 24 h was(7.54±1.21)times,and the milk production on the 2nd day after surgery was(192.17±15.33)ml,which were more than those of(5.18±1.03)times and(153.28±15.21)ml in the control group;the differences were statistically significant(P<0.05).Before intervention,there was no statistically significant difference in scores of SAS and SDS between the two groups(P>0.05).After intervention,the scores of SAS and SDS in both groups were lower than those before intervention in this group;the scores of SAS and SDS were(40.18±1.12)and(39.14±0.47)points in the observation group,which were lower than those of(48.31±1.21)and(48.25±1.18)points in the co

关 键 词：剖宫产 快速康复外科理念 胃肠功能 泌乳情况 

分 类 号：R473.71[医药卫生—护理学]