按抚干预对预防剖宫产术后并发症的影响

目的降低产妇剖宫产术后并发症的发生率，提高剖宫产术后护理质量。方法将2009年1至10月收住我院的剖宫产产妇600例为干预组，同期560例为对照组。对照组采用传统的剖宫产术后常规护理；干预组在传统护理的基础上增加预防产后出血、尿潴留、乳胀、腹胀、便秘、下肢深静脉血栓等并发症发生的按抚疗法。应用尿潴留的评定标准，并自定产后出血、缺乳、乳胀、腹胀、便秘、下肢深静脉血栓的评定标准，记录、对比两组产妇术后并发症发生率。结果干预组产妇产后出血、尿潴留、缺乳、乳胀、腹胀、便秘、术后下肢深静脉栓塞等并发症发生率明显低于对照组（P〈0．05），差异有统计学意义。结论针对剖宫产术后产妇可能发生的并发症采用相应的按抚疗法，是促进剖宫产术后产妇康复有效的护理干预方法。

By Fu intervention on preventim of postoperative caplicatins of cesarean of cesarean section

Objective To decrease the syndrome rate of lying-in women after their operations of Caesarean birth and increase the nursing ability after the operations. Methods Choose 600 lying-in women who were in our hospital from January to October in 2009 as a group of interveners. Meanwhile, choose another 560 lying-in women as a group of contrasts. Contrasts use traditional nursing methods after Caesarean birth. Interveners adding methods preventing phenomena such as maternal post-partum hemorrhage, urinary retention, swelling of breasts, abdominal distention, constipation, deep vein thrombosis and so on. Use urinary retention assessing standard and make assessing standards for maternal post-partum hemorrhage,latex lacking, swelling of breasts, abdominal distention, constipation, deep vein thrombosis and so on. In addition, record and compare the syndrome rate of lying-in women of the two groups mentioned above.Results The syndrome rate such as bleeding after giving birth, urinary retention latex lacking, swelling of breasts, swelling of bellies, constipation, deep vein thrombosis after operations of the lying-in women in the group of interveners are less than another group( P＜ 0.05 ), so the discrepancy makes sense statistically.Conclusions The method aiming at the lying-in women after their operations of Caesarean birth is an effective nursing method which can accelerate the healing of the lying-in women after their Caesarean birth.