剖宫产术患者风险评估及预见性护理

The Risk Evaluation and Predictive Nursing on Patients with Cesarean Section

目的评估剖宫产术患者风险及相光因素,实施预见性护理,降低手术风险,确保母婴安全。方法对352例剖宫产术患者列为对照组,524例剖宫产术患者列为观察组,进行风险评估,实施预见性护理,观察两组新生儿窒息发生和抢救成功率,产后出血、切口感染的发生情况。结果对照组新生儿窒息I度窒息有14例,II度窒息7例,产后出血7例,切口感染12例,观察组新生儿窒息I度窒息有6例,II度窒息2例,产后出血2例,切口感染5例。两组比较有差异性,P<0.05。结论通过对剖宫产术患者进行风险评估,针对性地实施预见性护理,可有效降低新生儿窒息发生率,减少产后出血、切口感染发生率。

Objective To ensure the mother and infant safety by risk evaluation on patients with cesarean section and practice predictive nursing. Methed To evaluate the risk of the control group （352 patients with cesarean section） and the experiment group （524 patients with cesarean section） on neonatal asphyxia, rescue achievement ratio, postpartum hemorrhage and postoperative infection. Result There were 14 infants with Ⅰ degree neonatal asphyxia, 7 infants with Ⅱ degree neonatal asphyxia, 7 mothers＇ postpartum hemorrhage and 5 mothers＇ postoperative infection on the control group. There were 6 infants with Ⅰ degree neonatal asphyxia, 2 infants with Ⅱ degree neonatal asphyxia, 2 mothers＇ postpartum hemorrhage and 5 mothers＇ postoperative infection on the experiment group.The two groups had comparative defference （P〈0.05）. Conclusion It would decrease neonatal asphyxia, rescue achievement ratio, postpartum hemorrhage and postoperative infection to evaluate the risk and practice predictive nursing.