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目的分析剖宫产产后出血的危险因素,并总结出有效的护理措施,以最大限度地降低产后出血率。方法将本院近两年收治的剖宫产产后出血的120例产妇作为观察对象,并按照随机分组的原则分为观察组和对照组,每组60例,对照组给予常规的产后护理,观察组根据产妇的情况实施有针对性的护理措施,对两组的产妇满意度、止血时间及总出血量进行对比。结果通过分析得出剖宫产产后出血的危险因素以宫缩乏力最多,有100例,其次为胎盘因素,有16例,再次为凝血功能障碍和产后膀胱过度充盈,分别为2例。经过不同的护理后,观察组产妇的满意度明显高于对照组,止血时间明显短于对照组,且总的出血量明显少于对照组,组间差异均具有显著性(P<0.05)。结论剖宫产产后出血的危险因素主要为宫缩乏力、胎盘因素,经针对性护理后可有效止血,减少出血量,提高产妇满意度,值得推广。
Objective To analyze the risk factors of postpartum hemorrhage after cesarean section and to find out the effective nursing measures to minimize the rate of postpartum hemorrhage. Methods The 120 cases of postpartum hemorrhage after cesarean section were treated in our hospital in the past two years were divided into observation group and control group according to the principle of randomization. Each group included 60 cases. The control group was given conventional postpartum nursing. Group according to the situation of mothers to implement targeted care measures, the two groups of maternal satisfaction, stop bleeding time and total blood loss were compared. Results The risk factors of cesarean section postpartum hemorrhage were found to have the most uterine inertia, 100 cases, followed by placental factors, 16 cases, again coagulation disorders and postpartum bladder overfill, respectively, in 2 cases. After different nursing care, the observation group maternal satisfaction was significantly higher than the control group, bleeding time was significantly shorter than the control group, and the total amount of bleeding was significantly less than the control group, the differences were significant (P <0.05). Conclusion The main risk factors of cesarean section postpartum hemorrhage are uterine atony and placenta. After targeted nursing, hemostasis can be effectively stopped, the amount of bleeding and maternal satisfaction can be improved, which is worthy of promotion.