剖宫产术后护理改进探讨.docVIP

剖宫产术后护理改进探讨 　　【摘要】 目的：研究分析剖宫产术后护理工作改进的必要性及可行性。方法：选择2013年2月-2014年2月笔者所在医院接收的具备剖宫产指征的214例产妇作为观察组，对术后护理工作进行了改进，将术后24 h进流食改为6 h；术后36～48 h拔管时间更改为6～12 h。并选取同期在笔者所在医院行剖宫产的220例产妇作为对照组，术后采取常规护理。比较两组各观察指标。结果：观察组产妇术后肛门排气时间、自行排尿时间、下床活动时间、泌乳时间及泌乳量均优于对照组（P0.05）；观察组产妇术后并发症发生率为4.21%（9/214），显著低于对照组的28.64%（63/220），差异有统计学意义（P0.05）。结论：剖宫产术后护理工作的改进能够有效改善预后效果，具有较高的可行性。 　　【关键词】 剖宫产； 术后护理； 护理改进 　　中图分类号 R473.71 文献标识码 B 文章编号 1674-6805（2016）3-0072-02 　　Research of Nursing Improvement after Cesarean Section/MO Bi-juan.//Chinese and Foreign Medical Research，2016，14（3）：72-73 　　【Abstract】 Objective：To research and analyze the necessity and feasibility of nursing improvement after cesarean section.Method：214 cases of primipara who had cesarean section indications were selected in our hospital from February 2013 to February 2014，who were selected as the observation group.The nursing work was improved for the postoperative.24 h after surgery in liquid diets changed to 6 h.36 to 48 h of the extubation time after surgery changed for 6 to 12 h. 220 cases of maternal during the same period for cesarean section were selected as the control group，and given postoperative routine nursing.Clinical indexes of two group were compared.Result：The anus exhaust time，postoperative bed time，urine time，lactation time and lactation quantity of the observation group were better than those of the control group（P0.05）.And the complications probability of the observation group was 4.21%（9/214），was significantly less than 28.64%（63/220） of the control group，there was statistical significance（P0.05）.Conclusion：The nursing improvement can effectively improve the prognosis effect of cesarean section and has a high feasibility. 　　【Key words】 Cesarean section； Postoperative nursing； Nursing improvement 　　First-author’s address：Maternal and Child Health Hospital of Yangshuo County，Yangshuo 541900，China 　　doi：10.14033/j.cnki.cfmr.2016.3.038 　　剖宫产术是现阶段产科临床解决异常分娩的一种重要措施[1]，怎样减少手术操作时间，减少术中出血量，降低术后并发症发生率，促进产妇术后早康复是产科关注的重大课题