快速康复护理对剖宫产产妇子宫复旧及早期泌乳的影响  

Effect of rapid rehabilitation nursing on uterine involution and early lactation in parturients undergoing cesarean section

作　　者：杨立华 YANG Lihua(Wudi County Traditional Chinese Medicine Hospital,Shandong Province,Wudi 251900,China)

机构地区：[1]山东省无棣县中医院,山东无棣251900

出　　处：《妇儿健康导刊》2024年第19期147-150,共4页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的探讨快速康复护理对剖宫产产妇子宫复旧及早期泌乳的影响。方法选取2020年1月至2023年1月无棣县中医院收治的80例剖宫产产妇作为研究对象,采用随机数字表法分为两组。对照组(40例)采用常规产后护理,观察组(40例)采用快速康复护理。比较两组子宫宫底高度、泌乳情况及产后不良情绪。结果两组产后48、72 h的子宫宫底高度均低于产后24 h,且观察组产后24、48及72 h的子宫宫底高度均低于对照组(P<0.05)。观察组开始泌乳时间短于对照组,泌乳不足率低于对照组(P<0.05)。观察组产后焦虑自评量表、抑郁自评量表评分均低于对照组(P<0.05)。结论快速康复护理在剖宫产产妇中应用可促进子宫复旧,改善早期泌乳情况及心理状态,干预效果较好,可在临床中推广应用。Objective To explore the effect of rapid rehabilitation nursing on uterine involution and early lactation in parturients undergoing cesarean section.Methods A total of 80 parturients undergoing cesarean section admitted to Wudi County Traditional Chinese Medicine Hospital from January 2020 to January 2023 were selected as the study objects.All the parturients were divided into two groups using the random number table method.The control group(40 cases)received routine postpartum nursing,while the observation group(40 cases)received rapid rehabilitation nursing.The uterine fundus height,lactation status,and postpartum adverse emotions were compared between the two groups.Results The uterine fundus height at 48 and 72 hours postpartum of the both groups was lower than that at 24 hours postpartum,and the uterine fundus height at 24,48,and 72 hours postpartum of the observation group was lower than that of the control group(P<0.05).The start lactation time of the observation group was shorter than that of the control group,and the rate of insufficient lactation was lower than that of the control group(P<0.05).The scores of postpartum self-rating anxiety scale and self-rating depression scale in the observation group were lower than those in the control group(P<0.05).Conclusion The application of rapid rehabilitation nursing in parturients undergoing cesarean section can promote uterine involution and improve early lactation and psychological state,with good intervention effects,and can be promoted and applied in clinical practice.

关 键 词：快速康复护理 剖宫产 子宫复旧 早期泌乳 

分 类 号：R473.71[医药卫生—护理学]