围术期专项护理结合综合保温干预对剖宫产产妇产后康复相关指标及低体温的影响  

Effects of Perioperative Special Nursing Combined with Comprehensive Heat Preservation Intervention on Postpartum Recovery Indexes and Hypothermia of Parturientes after Cesarean Section

作　　者：李柯 LI Ke(Operating Room,The Sixth People's Hospital of Heze,Heze 274000,China)

机构地区：[1]菏泽市第六人民医院手术室,山东菏泽274000

出　　处：《反射疗法与康复医学》2024年第11期175-178,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨围术期专项护理结合综合保温干预对剖宫产产妇产后康复相关指标及低体温的影响。方法选取2022年6月—2023年9月菏泽市第六人民医院拟行剖宫产的76例产妇为研究对象,按随机数字表法将其分为对照组与观察组组,各38例。对照组实施常规护理,观察组实施围术期专项护理结合综合保温干预。对比两组的康复相关指标、体温变化、应激指标、低体温及寒战发生情况。结果观察组术后首次排气、首次下床时间均短于对照组,组间差异有统计学意义(P<0.05)。观察组T_(2)、T_(3)时的体温均高于对照组,组间差异有统计学意义(P<0.05)。对照组T_(1)、T_(2)时的心率(HR)均快于同组T_(0)时,舒张压(DBP)、收缩压(SBP)、均高于同组T_(0)时,但观察组的HR慢于对照组,DBP、SBP均低于对照组,差异有统计学意义(P<0.05)。观察组低体温、寒战发生率均低于对照组,组间差异有统计学意义(P<0.05)。结论围术期专项护理结合综合保温干预能够减轻剖宫产产妇应激反应,减少低体温及寒战发生,促进产后康复。Objective To explore the effect of perioperative special nursing combined with comprehensive heat preservation intervention on postpartum rehabilitation related indicators and hypothermia of cesarean section parturients.Methods A total of 76 pregnant women who planned to undergo cesarean section in the Sixth People's Hospital of Heze from June 2022 to September 2023 were selected as the research objects,according to the random number table method,they were divided into a control group and an observation group,with 38 cases in each group.The control group received routine nursing,and the observation group received perioperative special nursing combined with comprehensive heat preservation intervention.The rehabilitation related indicators,body temperature changes,stress indicators,the occurrence of hypothermia and shivering were compared between the two groups.Results The time of the first postoperative exhaust and the first time of getting out of bed in the observation group were shorter than those in the control group,and the difference between the two groups was statistically significant(P<0.05).The body temperature of the observation group at T_(2) and T_(3) were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).Heart rate(HR)at T_(1) and T_(2) in the control group was faster than that at T_(0) in the same group,diastolic blood pressure(DBP)and systiolic blood pressure(SBP)were higher than that at T_(0) in the same group,but HR in the observation group was slower than that of the control group,and DBP and SBP were lower than those of the control group,and the differences were statistical significance(P<0.05).The incidence of hypothermia and chills in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Perioperative special nursing combined with comprehensive heat preservation intervention can reduce the stress response of cesarean section partu

关 键 词：剖宫产 围术期专项护理 综合保温 应激反应 低体温 产后康复 

分 类 号：R473[医药卫生—护理学]