剖宮產(chǎn)產(chǎn)婦術(shù)后觀察內(nèi)容[整體護理在剖宮產(chǎn)產(chǎn)婦圍術(shù)期中的臨床應(yīng)用觀察]

剖宮產(chǎn)產(chǎn)婦術(shù)后觀察內(nèi)容整體護理在剖宮產(chǎn)產(chǎn)婦圍術(shù)期中的臨床應(yīng)用觀察 摘要 目的 探討整體護理在剖宮產(chǎn)產(chǎn)婦圍術(shù)期中的臨床應(yīng)用。 方法 選取xx年2月前后我院收治的擇期行剖宮產(chǎn)產(chǎn)婦100例為觀察組和對照組。對照組予以常規(guī)護理，觀察組實施整體護理。比較兩組產(chǎn)后恢復(fù)情況（離床活動時間、肛門排氣時間、拔除尿管時間及術(shù)后48 h疼痛評分）、并發(fā)癥及新生兒Apgar評分。 結(jié)果 觀察組產(chǎn)婦離床活動時間、肛門排氣時間、拔除尿管時間均明顯早于對照組（P 0.01），術(shù)后48 h疼痛評分顯著低于對照組（P 0.05）。觀察組產(chǎn)婦并發(fā)癥明顯少于對照組（P 0.05），新生兒Apgar評分8分者明顯多于對照組（P 0.05）。 結(jié)論 在剖宮產(chǎn)產(chǎn)婦圍術(shù)期中采用整體護理，能有效促進剖宮產(chǎn)產(chǎn)婦產(chǎn)后恢復(fù)，減少并發(fā)癥，提高新生兒出生質(zhì)量，值得臨床推廣應(yīng)用。 關(guān)鍵詞 整體護理；剖宮產(chǎn)；圍術(shù)期 R473 C 1673-7210（xx）08（b）-0127-03 Clinical observation of holistic nursing on cesarean section maternal in the perioperative period DING Xiaojuan Depatment of Gynaecology and Obstetrics, the Peoples Hospital of Dazu District in Chongqing City, Chongqing 402360, China Abstract Objective To investigate the clinical application of holistic nursing on cesarean section maternal in the perioperative period. Methods 50 cases of maternal scheduled for cesarean section in our hospital in the time from February to Octoberin xx were respectively selected as the observation group and control group. The control group received routine nursing, the observation group reveived holistic nursing. The postpartum recovery situations (time of out bed, anus exhaust time, and the catheter removal time and pain score after surgery 48 h), the plications and Apgar score were pared. Results The time of anal exhaust and out bed, catheter removal time of observation group were significantly earlier than the control group (P 0.01), the pain scores of observation group were significantly lower than the control group at 48 h after surgery (P 0.05). Maternal plications of the observation group was significantly less than the control group (P 0.05), the neonates normal rate of observation group was significantly higher than the control group (P 0.05). Conclusion The holistic nursing can effectively promote the postpartum recovery of cesarean section maternal, reduce plications and improve the quality of neonates, is worthy of clinical application. Key words Holistic nursing; Cesarean section; Perioperative period 剖宮產(chǎn)是目前臨床處理高危妊娠和解決難產(chǎn)的一種重要手段，對降低孕產(chǎn)婦和圍生兒發(fā)病率和病死率有顯著成效。但剖宮產(chǎn)并不是一種符合自然生理的分娩方式，而是一種創(chuàng)傷性手術(shù)，術(shù)后不僅形成瘢痕子宮，而且易出現(xiàn)尿潴留、寒戰(zhàn)等并發(fā)癥，威脅母嬰生命安全。xx年2月xx年10月，我院在50例剖宮產(chǎn)產(chǎn)婦圍術(shù)期中采用整體護理，取得良好效果，現(xiàn)報道如下： 1 資料與方法 1.1 一般資料 隨機選擇xx年210月在我院擇期行剖宮產(chǎn)產(chǎn)婦50例為觀察組，同時按11的比例隨機抽取xx年2月前在我院收治的擇期行剖宮產(chǎn)產(chǎn)婦50例為對照組。兩組產(chǎn)婦均單胎，胎動、胎心正常，B超證實子宮大小與孕周相符合；均行子宮下段橫切口剖宮產(chǎn)術(shù)，