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目的探讨早期标准化护理干预对预防产妇阴道分娩后尿潴留的效果。方法对阴道分娩的3 170例产妇实施早期标准化干预,包括产后2 h内协助其尽早下地坐式排尿及合理控制入量、产房与母婴同室针对性交接、母婴同室护士采用腹部叩诊评估并积极督促产妇早期排尿等。结果阴道分娩后81.01%的产妇在产后2 h内排尿,留置尿管率为2.56%,较实施前下降(P<0.01)。引流尿量>800 ml者7例。结论早期标准化干预措施可以减少阴道分娩后尿潴留发生率和留置尿管率。
Objective To explore the effect of early standardized nursing intervention on preventing urinary retention after vaginal delivery. Methods Early standardized intervention was given to 3 170 pregnant women who delivered vaginally, which included assisting them in sitting and urinating as early as possible and controlling their intake as early as possible within 2 h after delivery. The maternity and maternity wards were given sexual intercourse in the delivery room. Actively urge maternal urination and so on. Results After vaginal delivery, 81.01% of the women were discharged within 2 h after delivery, and the catheterization rate was 2.56%, which was lower than before (P <0.01). Drainage of urine volume> 800 ml in 7 cases. Conclusion Early standardized intervention can reduce the incidence of urinary retention and indwelling catheter after vaginal delivery.