循证护理对剖宫产产妇产后出血和泌乳功能影响.docVIP

循证护理对剖宫产产妇产后出血和泌乳功能影响 　　【摘要】 目的：探讨循证护理对剖宫产产妇产后出血和泌乳功能的影响。方法：选择笔者所在医院2015年4月-2016年4月剖宫产产妇60例，随机分为观察组和对照组，每组30例。对照组给予手术室常规护理，观察组实施循证护理。比较两组术中出血量、产后48 h出血量、产后48 h血红蛋白（Hb），观察两组首次泌乳时间和产后48 h泌乳量。结果：观察组术中出血量、产后48 h出血量明显少于对照组，差异有统计学意义（P0.05）；观察组产后48 h Hb显著高于对照组，差异有统计学意义（P0.05）。观察组首次泌乳时间明显早于对照组，差异有统计学意义（P0.05），产后48 h泌乳量充足率显著高于对照组，差异有统计学意义（P0.05）。结论：循证护理可有效减少剖宫产产妇的产后出血量，并能改善其泌乳功能。 　　【关键词】 循证护理； 剖宫产； 产后出血； 泌乳功能 　　doi：10.14033/j.cnki.cfmr.2016.35.043 文献标识码 B 文章编号 1674-6805（2016）35-0084-03 　　【Abstract】 Objective：To explore the effect of evidence-based nursing on postpartum hemorrhage and lactation function of postpartum women with cesarean section.Method：60 cases of postpartum hemorrhage from April 2015 to April 2016 were selected and randomly divided into the observation group and the control group，30 cases in each group.The control group was given routine nursing，and the observation group was given evidence-based nursing.Blood loss during operation，postpartum 48 h bleeding，postpartum 48 h hemoglobin（Hb） were compared between the two groups.The first lactation time and the amount of lactation in postnatal 48 h were observed in the two groups.Result：Blood loss during operation，postpartum 48 h bleeding in the observation group were significantly less than those in the control group（P0.05），while postpartum 48 h Hb in the observation group was significantly higher than that in the control group（P0.05）.The first lactation time in the observation group was significantly earlier than that in the control group （P0.05），and the rate of enough lactation in postnatal 48 h was significantly higher than that in the control group（P0.05）.Conclusion：Evidence-based nursing can effectively reduce postpartum hemorrhage of cesarean section，and improve lactation function. 　　【Key words】 Evidence-based nursing； Cesarean section； Postpartum hemorrhage； Lactation function 　　First-author’s address：Gaoxin Zone People’s Hospital of Suzhou，Suzhou 215129，China 　　受?t学发展和生育观念、社会因素等影响，剖宫产比例日益增多，文献[1]报道达