快速康复外科理念指导下的助产实践体会

Experience of midwifery practice under guidance of fast track surgery concept

目的探讨快速康复外科理念在助产实践中的应用效果。方法阴道分娩初产妇82例随机分为A组和B组,各41例。A组常规护理,B组应用快速康复外科理念指导下的护理干预。比较2组产妇产后住院时间、会阴侧切率、住院费用。结果 2组均顺利分娩。A组产妇均给予会阴侧切术助产,B组13例产妇行小切口会阴侧切术,23例会阴Ⅰ度裂伤缝合术,5例未予以缝合。B组住院时间、住院费用显著优于A组(P<0.01)。结论运用快速康复外科理念可有效减少助产手术的损伤,促进产后康复。

Objective To explore the effect of midwifery practice under guidance of fast track surgery concept. Methods A total of 82 primiparas with normal vaginal delivery were randomly divid- ed into group A and group B, with 41 cases in each group. The group A was treated with conventional nursing, while the group B was treated with nursing interventions under guidance of fast track surgery concept. The length of hospital stay, episiotomy rate and total cost were compared between two groups. Results All the primiparas delivered successfully. The primiparas in the group A were treated with e- pisiotomy. In the group B, 13 primiparas were treated with small lesion episiotomy, 23 primiparas with first - degree perineal lacerations were treated with perineorrhaphy, and 5 primiparas were not sutured. The length of hospital stay and total cost in the group B were significantly better than those in the group A （P 〈 0.01 ）. Conclusion Application of fast track surgery concept can effectively reduce the trau- ma caused by assisted delivery and promote postpartum rehabilitation.