手术室综合保温护理对剖宫产后产妇康复及新生儿影响  

Effects of the comprehensive insulation nursing in operating room on the postpartum recovery and the newborns after cesarean section

作　　者：朱利 程淑婷 张继虎 ZHU Li;CHENG Shuting;ZHANG Jihu(Linquan People's Hospital,Fuyang,Anhui Province,236400;The First Affiliated Hospital of Anhui Medical University,Hefei)

机构地区：[1]安徽省临泉县人民医院,236400 [2]安徽医科大学第一附属医院

出　　处：《中国计划生育学杂志》2024年第4期821-824,共4页Chinese Journal of Family Planning

摘　　要：目的:探讨手术室综合保温护理对剖宫产产妇围术期体温、寒战发生情况、产后康复及新生儿健康影响。方法:将本院2020年1月7日-2023年9月21日收治的拟剖宫产产妇76例作为研究对象,依据数字表法分为常规组和观察组各38例,常规组给予常规保温管理,观察组给予手术室综合保温护理。对比两组围术期体温以及产后泌乳始动、胃肠功能恢复、下床活动的时间,寒战发生率、新生儿健康情况与产妇护理满意度。结果:观察组胎儿娩出时体温(36.54±0.48℃)、手术结束时体温(36.69±0.46℃)、新生儿体温(37.02±0.39℃)、新生儿发育商(87.58±12.11分)及产妇护理满意度(92.1%)均高于常规组(35.64±0.41℃、36.27±0.24℃、7%±0.29℃、74.16±10.69分),产后泌乳始动时间(18.23±2.34h)、胃肠功能恢复时间(16.09±2.48h)、下床活动时间(14.72±1.97h)、寒战发生率(5.3%)均少于常规组(24.69±3.48h、22.69±3.46h、20.36±2.64h、23.7%)(均P<0.05)。结论:手术室综合保温护理可以有效维持产妇围术期体温和新生儿健康,促进产后恢复。Objective:To investigate the effects of the comprehensive insulation nursing in operating room on the perioperative body temperature,the chills,the postpartum recovery and the newborn health of women after cesarean section.Methods:76 pregnant women who wanted cesarean section were divided into two groups(38 cases in each group)according to the digital table method from January 7,2020 to September 21,2023.The women in the control group were given routine insulation management in operating room,and the women in the research group were given the comprehensive insulation nursing in the operating room.The perioperative period temperature,the time of lactation initiation,the gastrointestinal function recovery time and the time of getting out of bed,the incidence of chills,the newborn health and the maternal nursing satisfaction of the women were compared between the two groups.Results:The body temperature during operation(36.54±0.48℃)and at the end of operation(36.69±0.46℃),the neonatal body temperature(37.02±0.39℃),the neonatal development quotient(87.58±12.11 points)and the maternal nursing satisfaction(92.1%)of the women in the research group were significantly higher than those(35.64±0.41℃,36.27±0.24℃,7%±0.29℃and 74.16±10.69 points)of the women in the control group.The onset time of lactation(18.23±2.34h),the recovery time of gastrointestinal function(16.09±2.48h),the time of getting out of bed(14.72±1.97h)and the incidence of chills(5.3%)of the women in the research group were significantly less than those(24.69±3.48 h,22.69±3.46h,20.36±2.64h and 23.7%)of the women in the control group(all P<0.05).Conclusion:The comprehensive thermal insulation nursing for the women in operating room can effectively maintain their perioperative body temperature,improve their postpartum recovery and newborn health,and which can promote the postpartum recovery of the women.

关 键 词：剖宫产 围术期 手术室综合保温 体温 产后康复 新生儿 

分 类 号：R473.71[医药卫生—护理学]