早期康复护理对剖宫产术后子宫复旧进程与产后出血的影响分析

目的 探讨早期康复护理对剖宫产术后子宫复旧进程、产后出血的影响。方法 2018年2月—2020年10月本院收治186例剖宫产产妇,根据纳入标准与排除标准从中选取102例剖宫产产妇作为研究对象,按随机数字表法分为两组,各51例。对照组给予常规护理,观察组实施早期康复护理。对比两组子宫复旧进程、产后出血量、机体康复情况。结果 观察组术后第6周子宫三径之和(14.03±2.14)cm,小于对照组的(17.29±2.35)cm;出血量为(236.51±35.57)mL,少于对照组的(288.74±40.28)mL,(t=7.325、6.941,P值均＜0.001);观察组乳汁始动时间、下床活动时间、住院时间分别为(27.92±4.03)h、(35.47±3.64)h、(7.43±1.39)d,短于对照组的(35.01±6.12)h、(41.25±3.77)h、(9.40±1.58)d,(t=6.910、7.877,P值均＜0.01);术后48 h切口疼痛评分(2.43±0.65)分,低于对照组的(3.19±0.78)分,(P＜0.01)。结论 早期康复护理能够促进剖宫产产妇产后子宫复旧,减少出血量,加快产妇身心康复。

Effect of early rehabilitation nursing on uterine recovery and postpartum hemorrhage after cesarean section

Objective To explore the effect of early rehabilitation nursing on the recovery of uterus and postpartum hemorrhage after cesarean section. Methods From February 2018 to October 2020, 186 cases of cesarean section puerpera were treated in our hospital, and according to the inclusion criteria and exclusion criteria, 102 cases of cesarean section puerpera were selected as the research objects and they were randomly divided into a control group and an observation group, with 51 cases in each group. The control group was given the routine care, and the observation group received the early rehabilitation nursing. The uterine recovery process, postpartum hemorrhage and body recovery were compared between the two groups. Results The 6th week after operation, the sum of three uterine diameters in the observation group was (14.03±2.14) cm, which was less than that (17.29±2.35) cm in the control group, and the bleeding volume in the observation group was (236.51±35.57) ml, which was less than that (288.74±40.28) ml in the control group, with statistical differences (t=7.325, 6.941, P<0.001). In the observation group, the first time of milk movement, the time of getting out of bed and the time of hospitalization were (27.92±4.03) h, (35.47±3.64) h, and (7.43±1.39) d, respectively, which were less than those in the control group: (35.01±6.12) h, (41.25±3.77) h, and (9.40±1.58) d respectively (t=6.910, 7.877, all P<0.01); the postoperative h incision pain score was (2.43±0.65) in the observation group, which was less than that (3.19±0.78) in the control group (P<0.01). Conclusion The early rehabilitation nursing can promote the recovery of uterus after cesarean section, reduce bleeding, improve the physical and mental recovery of puerpera.