难治性产后出血介入治疗的护理干预

Nursing interventions for patients accepting interventional therapy for refractory postpartum hemorrhage

目的探讨难治性产后出血介入治疗护理干预的要点。方法总结25例难治性产后出血介入治疗患者的心理护理,术前急救配合、物品准备,术中患者卧位选择、病情观察,术后并发症预防及出院指导要点。结果通过积极治疗和护理干预,25例患者均一次性栓塞成功,手术成功率100%,术后5~20 min止血,1~7 d血性恶露逐渐减少,未再出现异常的阴道出血。平均住院11.5 d,治愈率100%。随访患者子宫按期复旧,均恢复正常月经及排卵。结论对难治性产后出血介入治疗患者进行综合护理干预,是保证手术安全、避免术后并发症、促使患者术后早日康复的重要举措。

Objective To explore the effectiveness of nursing interventions for patients accepting interventional therapy for refractory postpartum hemorrhage.Methods Twenty-five patients underwent either internal iliac artery embolization or uterine arterfy embolization for refractory postpartum hemorrhage.All patients received nursing interventions,including psychological nursing,preoperative emergency collaboration and preparation,posture selection,illness observation,prevention of post-operative complications and instructions on discharge.Results With appropriate treatment and nursing interventions,all patients were successfully embolized and the bleeding was stopped 5 to 20 minutes after embolization.Bloody lochia decreased 1 to 7 days.Subinvolution or recurrent abnormal vaginal bleeding was not observed.Average hospital stay was 11.5 days and the success rate was 100%.During followup,all patients returned to normal menstruation and ovulation.Conclusion For patients accepting interventional therapy for refractory postpartum hemorrhage,modular nursing interventions are important for ensuring patient safety,preventing postoperative complications and promoting recovery.