综合护理降低子宫收缩乏力产后出血及预防并发症的效果分析

Analysis of the Effect of Comprehensive Nursing in Reducing Postpartum Hemorrhage and Preventing Complications

目的探析综合护理对降低子宫收缩乏力引起的产后出血及并发症预防的临床护理效果。方法该文对该院在2016年4月-2020年3月接收的81例子宫收缩乏力产妇实施研究,按数字分组法进行分组,接受常规护理一组为对照组(41例),接受综合护理一组为观察组(40例),比较两组产后出血量、止血时间及并发症发生状况。结果经综合干预,观察组产后2 h出血量(83.69±10.58)mL、产后24 h出血量(134.39±20.85)mL、止血时间(33.89±2.87)min,均少于对照组,差异有统计学意义(t=18.715、20.503、35.505,P<0.05);观察组止血效果总有效率为87.50%,明显强于对照组的68.29%,差异有统计学意义(χ^2=4.322,P<0.05);观察组发生腰痛、产后贫血等并发症5例,发生率为12.50%,少于对照组的14例与34.15%,差异有统计学意义(χ^2=5.284,P<0.05)。结论综合护理对降低产妇子宫收缩乏力产后出血效果显著,并发症预防效果好,可有效保证产妇与胎儿安全,具有较高的临床应用价值。

Objective To explore the clinical nursing effect of comprehensive nursing in reducing postpartum hemorrhage caused by uterine weakness and preventing complications.Methods This article conducted a study on 81 women with uterine contraction and weakness received in the hospital from April 2016 to March 2020.They were grouped according to the number grouping method,and the group receiving routine care was the control group(41 cases).The observation group(40 cases)received comprehensive nursing to compare the amount of postpartum bleeding,hemostasis time and complications.Results After comprehensive intervention,the blood loss 2 h postpartum(83.69±10.58)mL,the blood loss 24 h postpartum(134.39±20.85)mL,and the hemostatic time(33.89±2.87)min in the observation group were all less than those in the control group,and the difference was statistically significant(t=18.715,20.503,35.505,P<0.05);The total effective rate of hemostatic effect in the observation group was 87.50%,which was significantly higher than that in the control group(68.29%),and the difference was statistically significant(χ^2=4.322,P<0.05);In the observation group,5 cases of low back pain,postpartum anemia and other complications occurred,with an incidence of 12.50%,which was less than that of the control group(14 cases and 34.15%),and the difference was statistically significant(χ^2=5.284,P<0.05).Conclusion Comprehensive nursing has a significant effect on reducing postpartum hemorrhage due to uterine contraction and fatigue of the parturient.The prevention effect of complications is good.It can effectively ensure the safety of the parturient and fetus,and has high clinical application value.