护理团队结合血液加温仪在凶险性前置胎盘剖宫产术患者中的应用研究  

Study on the application of the nursing team combined with the blood heater in patients with pernicious placenta previa undergoing cesarean section

作　　者：陈雪芳 周媛 陈玲 CHEN Xuefang;ZHOU Yuan;CHEN Ling(Ganzhou Maternal and Child Health Care Hospital,Ganzhou,Jiangxi 341002,China)

机构地区：[1]江西省赣州市妇幼保健院,赣州341002

出　　处：《上海医药》2024年第16期26-28,62,共4页Shanghai Medical & Pharmaceutical Journal

摘　　要：目的:探讨护理团队结合血液加温仪在凶险性前置胎盘(PPP)剖宫产术患者中的应用价值。方法:选择2020年6月至2022年6月收治的PPP患者82例,按随机数字表法分为对照组和观察组各41例。对照组采用常规护理;观察组采用护理团队结合血液加温仪护理。对比分析两组围术期相关指标、体温变化情况、护理满意度和并发症。结果:观察组手术时间(59.20±4.46)min、住院时间(6.02±1.27)d,短于对照组的(68.42±5.13)min、(7.85±1.34)d;术中出血量(448.38±24.73)mL,低于对照组的(472.63±29.52)mL;且术后体温(36.61±0.14)℃、护理满意度95.12%,高于对照组的(36.31±0.12)℃、78.05%;术后并发症发生率为4.88%,低于对照组的19.51%,差异有统计学意义(P<0.05)。结论:护理团队结合血液加温仪能够有效促进PPP患者剖宫产术顺利实施,且具有术中出血量少、并发症少、减少体温波动的优势,可促使患者尽早出院,且护理满意度较高。Objective:To explore the application value of the nursing team combined with the blood heater in patients with pernicious placenta previa(PPP)undergoing cesarean section.Methods:Eighty-two PPP patients admitted to the hospital from June 2020 to June 2022 were selected and divided into a control group and an observation group with 41 cases each by random number table method.The control group received routine nursing care;the observation group received nursing care with the nursing team combined with the blood heater.The perioperative related indexes,temperature changes,nursing satisfaction and complications of the two groups were compared and analyzed.Results:The operation time(59.20±4.46)min and hospitalization time(6.02±1.27)d in the observation group were shorter than those in the control group(68.42±5.13)min and(7.85±1.34)d;the intraoperative bleeding volume(448.38±24.73)mL in the observation group was lower than that in the control group(472.63±29.52)mL;the postoperative temperature(36.61±0.14)℃and nursing satisfaction were 95.12%in the observation group were higher than those in the control group(36.31±0.12)℃and 78.05%,respectively;the incidence of postoperative complications in the observation group was 4.88%,which was lower than that in the control group(19.51%),and the difference was statistically significant(P<0.05).Conclusion:The nursing team combined with the blood heater can effectively promote the successful implementation of cesarean section for PPP patients,and has the advantages of less intraoperative bleeding,fewer complications,and less temperature fluctuations,which can promote patients to leave hospital as soon as possible,and the nursing satisfaction is high.

关 键 词：凶险性前置胎盘 剖宫产术 护理团队 血液加温仪 护理满意度 并发症 

分 类 号：R719.8[医药卫生—妇产科学]