早期标准化干预对产妇阴道分娩后尿潴留的效果分析

Effect of early standard intervention for the prevention postpartum urinary retention after vaginal delivery

目的探讨早期标准化护理干预对预防产妇阴道分娩后尿潴留的效果。方法对阴道分娩的3 170例产妇实施早期标准化干预,包括产后2 h内协助其尽早下地坐式排尿及合理控制入量、产房与母婴同室针对性交接、母婴同室护士采用腹部叩诊评估并积极督促产妇早期排尿等。结果阴道分娩后81.01%的产妇在产后2 h内排尿,留置尿管率为2.56%,较实施前下降(P<0.01)。引流尿量>800 ml者7例。结论早期标准化干预措施可以减少阴道分娩后尿潴留发生率和留置尿管率。

Objective To evaluate the effect of early standard intervention for the prevention postpartum urinary retention after vaginal delivery. Method Totally,3 170 vaginal delivery women received early standard intervention including assisting urination in 2 hours after delivery, appropriately control- ling input volume, targeted connection between delivery room and rooming -in, postpartum abdominal percussion assessment and positively supervising early stage urination by rooming - in nurses. Result After vaginal delivery,81.01% puerpera urinated in 2 hours after delivery,the rate of indwelling urinary catheter was 2.56% ,which decreased than before（P 〈 0.01 ）. Seven cases who had urine drainage of more than 800 ml. Conclusion Early standard intervention can de- crease the rate of urinary retention and indwelling urinary catheter after vaginal delivery.