宫缩乏力性产后出血的临床护理

Clinical nursing of postpartum hemorrhage caused by uterine inertia

目的观察和分析宫缩乏力性产后出血的临床护理方法及效果。方法将80例宫缩乏力性产后出血产妇按随机数字法分为对照组和观察组,各40例。对照组给予常规护理,观察组在常规护理的基础上给予综合护理干预。比较两组产妇的出血量、成功止血时间、护理效果及临床结局。结果观察组产妇的出血量明显少于对照组,成功止血时间明显短于对照组(P<0.05);观察组的护理总有效率明显高于对照组(P<0.05);观察组产妇的子宫切除率明显低于对照组(P<0.05)。结论对宫缩乏力性产后出血产妇实施综合护理干预,可减少产妇产后出血量,缩短止血时间,提高疗效,减少不良结局的发生,值得临床推广与应用。

Objective To observe and analyze the clinical nursing method and effect of postpartum hemorrhage causedby uterine inertia. Methods Eighty puerperas with postpartum hemorrhage caused by uterine inertia were divided intocontrol group and observation group according to the random digital method, with 40 cases in each group. The control groupwas given routine nursing, while the observation group was given comprehensive nursing intervention on the basis of routinenursing. The amount of bleeding, successful hemostatic time, nursing effects and clinical outcomes of the two groups werecompared. Results The amount of bleeding in the observation group was significantly less than that in the control group,and the successful hemostasis time was significantly shorter than that in the control group （P〈0.05）. The total effective rateof nursing in the observation group was significantly higher than that in the control group （P〈0.05）. The hysterectomy ratein the observation group was significantly lower than that in the control group（P〈0.05）. Conclusion Comprehensive nursingintervention for puerperas with postpartum caused by uterine inertia can reduce the amount of postpartum hemorrhage,shorten the hemostasis time, improve the curative effect and reduce the occurrence of adverse outcomes, which is worthy ofclinical promotion and application.