剖宫产术后产妇行康复训练指导的效果观察  

Observation on the effect of rehabilitation training guidance for parturients after cesarean section

作　　者：陈华英 CHEN Hua-ying(Ganxian District Maternal and Child Health Hospital,Ganzhou 341100,China)

机构地区：[1]赣县区妇幼保健院,341100

出　　处：《中国现代药物应用》2023年第22期165-168,共4页Chinese Journal of Modern Drug Application

摘　　要：目的观察剖宫产术后产妇行康复训练的效果。方法80例剖宫产术后产妇,以随机数字表法分为对照组和研究组,各40例。对照组产妇给予常规指导,研究组产妇给予康复训练指导。比较两组产妇子宫复旧相关指标,指导前后生活质量评分,术后并发症发生情况及满意度。结果研究组产后排尿时间(4.56±1.08)h、恶露持续时间(16.24±2.56)d、宫缩疼痛明显缓解时间(4.02±0.55)d、宫底降入脐耻间时间(9.16±0.77)d与子宫降入盆腔内时间(7.74±0.81)d均明显短于对照组的(5.33±1.72)h、(17.99±3.62)d、(4.58±0.62)d、(10.25±1.18)d、(8.95±1.76)d,子宫底高度(12.25±2.56)cm低于对照组的(14.59±3.84)cm,差异具有统计学意义(P<0.05)。指导前,两组产妇的总体健康、精神健康、情感职能、生理职能、生理功能、社会功能评分比较,差异无统计学意义(P>0.05);指导后,两组产妇的总体健康、精神健康、情感职能、生理职能、生理功能、社会功能评分均高于指导前,且研究组产妇的总体健康、精神健康、情感职能、生理职能、生理功能、社会功能评分分别为(92.01±2.92)、(94.53±3.86)、(93.41±2.06)、(94.47±3.36)、(94.87±2.18)、(93.72±3.51)分,均明显高于对照组的(87.02±6.35)、(85.47±5.97)、(86.49±4.03)、(89.99±4.58)、(89.10±3.20)、(87.45±4.96)分,差异具有统计学意义(P<0.05)。研究组产妇术后并发症发生率2.50%低于对照组的20.00%,总满意度100.00%高于对照组的85.00%,差异具有统计学意义(P<0.05)。结论剖宫产术后产妇给予康复训练指导可显著改善产妇的子宫复旧相关指标,提高产妇的生活质量,减少术后相关并发症的发生,提升产妇对于指导的满意度,效果理想。Objective To observe the effect of rehabilitation training guidance for parturients after cesarean section.Methods A total of 80 cases of parturients after cesarean section were divided into a control group and a study group according to the random numerical table,with 40 cases in each group.The control group was given routine guidance,and the study group was given rehabilitation training.The indexes related to uterine involution,quality of life score before and after guidance,the incidence of postoperative complications and satisfaction were compared between the two groups.Results In the study group,the postpartum urination time was(4.56±1.08)h,the duration of lochia was(16.24±2.56)d,the time to obvious relief of uterine pain was(4.02±0.55)d,the time between the umbilical and pubic fundus descending into the pelvis was(9.16±0.77)d and the time to uterus descending into the pelvis was(7.74±0.81)d,which were significantly shorter than those of(5.33±1.72)h,(17.99±3.62)d,(4.58±0.62)d,(10.25±1.18)d and(8.95±1.76)d in the control group;the fundus uterus height of(12.25±2.56)cm in the study group was lower than that of(14.59±3.84)cm in the control group;the differences were statistically significant(P<0.05).Before guidance,there was no statistically significant difference in the scores of overall health,mental health,role-emotional,role-physical,physical functioning and social functioning between the two groups(P>0.05).After guidance,the scores of overall health,mental health,role-emotional,role-physical,physical functioning and social functioning in both groups were higher than those before guidance;the scores of overall health,mental health,role-emotional,role-physical,physical functioning and social functioning were(92.01±2.92),(94.53±3.86),(93.41±2.06),(94.47±3.36),(94.87±2.18)and(93.72±3.51)points,which were significantly higher than those of(87.02±6.35),(85.47±5.97),(86.49±4.03),(89.99±4.58),(89.10±3.20)and(87.45±4.96)points in the control group;the differences were statistically significa

关 键 词：剖宫产 术后产妇 康复训练指导 效果观察 

分 类 号：R719.8[医药卫生—妇产科学] R49[医药卫生—临床医学]