格林模式在硬膜外麻醉镇痛阴道分娩初产妇排尿中的应用  

Green's Model in Epidural Anesthesia for Analgesia of Urination on Primiparous Women in Vaginal Delivery

作　　者：丁瑜平 胡秋文[1] 来晓莉 郑春燕 DING Yuping;HU Qiuwen;LAI Xiaoli;ZHENG Chunyan(The People's Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,China)

机构地区：[1]广西壮族自治区人民医院,广西南宁530021

出　　处：《中外医学研究》2025年第8期69-72,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题项目(Z-A20220059)。

摘　　要：目的:探究格林模式在硬膜外麻醉镇痛阴道分娩初产妇排尿中的应用。方法:回顾性分析2022年7月—2023年6月广西壮族自治区人民医院接收的100例初产妇的临床资料,按照不同的护理模式将其分成两组,对照组采取常规预防尿潴留护理模式(n=50),研究组在对照组的基础上采取格林模式(n=50)。对比两组排尿情况、产后出血量、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、并发症。结果:研究组产后首次排尿时间较对照组更短,首次排尿量较对照组更多,排尿不畅感评分较对照组更高,差异有统计学意义(P<0.05)。研究组产后2 h、12 h、24 h阴道出血量均少于对照组,差异有统计学意义(P<0.05)。干预前,两组SAS评分、SDS评分对比,差异无统计学意义(P>0.05);干预后,研究组各项评分均低于对照组,差异有统计学意义(P<0.05)。研究组并发症发生率(4.00%)较对照组(16.00%)更低,差异有统计学意义(P<0.05)。结论:采取格林模式应用于硬膜外麻醉镇痛阴道分娩初产妇排尿中,可改善产妇排尿情况和不良情绪,减少产后出血量,降低并发症发生风险。Objective:To investigate the application of Green's mode in epidural anesthesia for analgesic of urination on primiparous women in vaginal delivery.Method:The clinical data of 100 cases of primiparous women admitted to the People's Hospital of Guangxi Zhuang Autonomous Region from July 2022 to June 2023 were retrospectively analyzed,and they were divided into two groups according to different nursing care mode.The control group adopted the conventional nursing care mode of preventing urinary retention(n=50),and the study group adopted Green's Model on the basis of the control group(n=50).The urinary output,postpartum hemorrhage,anxiety self-assessment scale(SAS)score,depression self-assessment scale(SDS)score and complications were compared between the two groups.Result:The study group's first postpartum urination time was shorter than that of the control group,the amount of first urination was more than that of the control group,and the score of the feeling of dysuria was higher than that of the control group,and the differences were statistically significant(P<0.05).The amount of vaginal bleeding in the study group was less than that of the control group at 2 h,12 h,24 h of postpartum,the differences were statistically significant(P<0.05).Before the intervention,there were no statistically significant differences between the SAS score and SDS score of the two groups(P>0.05);after the intervention,the scores of the study group were lower than those of the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the study group(4.00%)was lower than that of the control group(16.00%),and the difference was statistically significant(P<0.05).Conclusion:Adopting Green's model in epidural anesthesia for analgesia of urination on primiparous women in vaginal delivery can improve maternal urination and bad mood,reduce postpartum hemorrhage,and lower the risk of complications.

关 键 词：格林模式 硬膜外麻醉镇痛 阴道分娩 尿潴留 

分 类 号：R714.3[医药卫生—妇产科学]