产妇产后卧姿对子宫复旧影响的研究

Study on the puerperal bed position to improve the involution of uterus for pregnant women

目的探讨产妇产后不同卧姿对子宫复旧的影响。方法选择正常分娩无产科并发症及内外科合并症者227例,随机分为研究一组（指导侧卧位组）92例,研究二组（指导侧卧位加胸膝卧位组）65例和对照组（按产妇习惯卧姿）70例,分别进行指导和观察。产后42d检查确定子宫复旧（包括子宫位置、大小、恶露干净时间）情况,由专人详细记录。结果研究一组、二组与对照组比较其子宫前中后位置构成、恶露平均干净时间比较,差异有统计学意义（P〈0.05）。结论侧卧位有利于产后子宫恢复至前倾前屈位和恶露排出,降低子宫后位发生率,从而有效降低产后远期妇科疾病发生率。

Objective In order to know the effects of different puerperal bed position to improve the involution of uterus for pregnant women. Methods Divided 227 pregnant women into the first research group（92 cases）, the second research group （65 cases） and the control group（70 cases） randomly. Latericumbent position was used in the first research group, latericumbent position combined with chest-knee position was used in the second research group, while optional position was used in the control group according to patients＇ lying habits. Compared the invollution of uterus condition and lochia ejection time among the three groups. Results The involution of uterus condition and lochia ejection time in the first and second research group were significantly better than those of in the control group, P〈0.05. Conclusion Latericumbent position can effectively improve the involution of uterus and lochia ejection.