综合护理干预在预防宫缩乏力性产后出血中的应用效果评价

Evaluation of application of comprehensive nursing intervention effect in the prevention of postpartum hemorrhage caused by uterine inertia

目的探讨综合护理干预对预防宫缩乏力性产后出血的应用效果。方法将112例产妇随机分为研究组(综合护理干预组)和对照组各56例。对照组采用常规护理,研究组在此基础上采用综合护理干预,观察两组产妇术后2 h、24 h出血量及产后出血发生率,对比并分析两组的护理干预应用效果。结果研究组产妇2 h、24 h出血量均少于对照组,差异具有统计学意义(P<0.05);研究组56例产妇中有5例发生产后出血,产后出血发生率为8.93%,对照组56例产妇中有11例发生产后出血,产后出血发生率为19.64%,两组产妇产后出血发生率比较,差异具有统计学意义(P<0.05);研究组临床护理总有效率为91.07%,对照组临床护理总有效率为67.86%,差异具有统计学意义(P<0.05)。结论综合护理干预可显著降低产妇宫缩乏力性产后出血发生率,提升护理效果。

Objective To explore the application of comprehensive nursing intervention effect on preventing postpartum hemorrhage caused by uterine inertia. Methods A total of 112 cases were randomly divided into research group （comprehensive nursing intervention group） and the control group, 56 cases in each group, the cases in the control group were given routine nursing, on the basis of this, the cases in the research group were given comprehensive nursing intervention, the amount of bleeding and the postpartum hemorrhage rate were observed after 2 h, 24 h, and the nursing application effects of two groups were compared and analyzed. Results The amount of bleeding and the postpartum hemorrhage rate after 2 h, 24 h in the research group was less than that in the control group, the differences were sta tistically significant （P〈0.05）; The incidence rate of maternal postpartum hemorrhage in the research group was 8.93%, which was significantly lower than that in the control group （19.64%）, the difference of postpartum hemorrhage rate between the two groups was significant, with statistical significance （P〈0.05）, The total clinical effective rate in the research group was 91.07%, the total clinical effective rate in the control group was 67.86%, the difference of clinical curative effect of the two groups was significant, with statistical significance （P〈0.05）. Conclusion The comprehensive nursing intervention can significantly reduce the occurrence of maternal postpartum hemorrhage caused by uterine atony, and improve the nursing effect.