卡前列甲酯栓联合温馨助产护理预防产后出血的护理观察

Nursing observation of carboprost methylate suppository combined with warm midwifery nursing in preventing postpartum hemorrhage

目的观察卡前列甲酯栓联合温馨助产护理预防产妇产后出血的护理临床效果。方法 60例入院分娩产妇,通过信封法随机分为试验组和对照组,每组30例。对照组应用卡前列甲酯栓联合常规护理模式,试验组应用卡前列甲酯栓联合助产士温馨护理模式,观察比较两组产妇产后2 h和24 h出血量及护理满意度。结果试验组产后2 h出血量为(213.4±50.1)ml,24 h出血量为(263.5±53.1)ml;对照组产后2 h出血量为(221.5±53.4)ml,24 h出血量为(290.1±56.7)ml;两组患者的产后2 h出血量比较差异无统计学意义(P>0.05),试验组患者的24 h出血量明显少于对照组,差异具有统计学意义(P<0.05)。试验组产妇的护理满意度100.0%明显高于对照组的80.0%,差异具有统计学意义(P<0.05)。结论卡前列甲酯栓联合助产士的温馨护理预防产妇产后出血,临床效果优异,值得临床推广。

Objective To observe the clinical effect of carboprost methylate suppository combined with warm midwifery nursing in preventing postpartum hemorrhage. Methods A total of 60 hospital delivery puerpera were divided by random envelope method into experimental group and control group, with 30 cases in each group. The control group received carboprost methylate suppository combined with conventional nursing, and the experimental group received carboprost methylate suppository combined with warm midwifery nursing. Observation and comparison were made on postpartum 2 and 24 h bleeding volume and nursing satisfaction between the two groups. Results The experimental group had postpartum 2 h bleeding volume as （213.4 ＋ 50.1） ml and postpartum 24 h bleeding volume as （263.5 ± 53.1） ml, while the control group had postpartum 2 h bleeding volume as （221.5 ±53.4） ml and postpartum 24 h bleeding volume as （290.1 ± 56.7） ml. Both groups had no statistically significant difference in postpartum 2 h bleeding volume （P〉0.05）. The experimental group had obviously less postpartum 24 h bleeding volume than the control group, and the difference was statistically significant （P〈0.05）. The experimental group had obviously higher nursing satisfaction as 100.0% than 80.0% in the control group, and the difference was statistically significant （P〈0.05）. Conclusion Combination of carboprost methylate suppository and warm nursing shows good clinical effect in preventing postpartum hemorrhage, and is worthy of clinical promotion.