产后康复在促进产后子宫复旧的临床效果研究

Clinical Effect of Postpartum Rehabilitation on Promoting Postpartum Uterine Involution

目的通过对产妇实施不同的护理措施,观察其效果,探究不同护理措施的临床应用特点。方法从来该院诊治的2016年1月—2018年10月的足月剖宫产分娩产妇中随机抽取82例,采用随机数字法随机分为对照组41例:实施常规护理,观察组41例:实施常规护理+产后康复护理。比较两种护理方式的临床效果。结果观察组宫底下降(1.27±0.69)cm/d低于对照组(2.69±0.97)cm/d(t=10.385,P<0.05),产后子宫宫底高度为(10.98±2.31)cm低于对照组(14.61±2.13)cm(t=11.031,P<0.05),恶露量为(545.25±213.14)mL少于对照组(838.56±243.28)mL(t=9.094,P<0.05);观察组晚期产后出血率为2.44%,低于对照组14.63%(χ^2=14.235,P<0.05),宫腔积血发生率为7.32%,低于对照组17.07%(χ^2=12.864,P<0.05),血性恶露发生率为2.44%,低于对照组9.76%(χ^2=11.539,P<0.05)。结论产后康复有助于降低产妇产后子宫宫底高度、恶露量、晚期产后出血率、宫腔积血发生率、血性恶露发生率,提高产妇产后子宫复旧,是一项值得广泛应用的产科护理方案。

Objective To observe the effects of different nursing measures on maternal women and explore the clinical application characteristics of different nursing measures. Methods A total of 82 patients who underwent full-term cesarean delivery from January 2016 to October 2018 in our hospital were randomly selected and randomly divided into control group (41 cases): routine nursing, 41 cases in observation group: implement routine care + postpartum rehabilitation care. Compare the clinical effects of the two methods of care. Results The decrease of the fundus in the observation group was (1.27±0.69)cm lower than that of the control group (2.69±0.97)cm/d (t=10.385, P<0.05). The postpartum uterine fundus height was(10.98±2.31)cm/d lower than the control group (14.61±2.13)cm (t=11.031, P<0.05), the amount of lochia was (545.25±213.14)mL less than the control group (838.56±243.28)mL (t=9.094, P<0.05);the late postpartum hemorrhage rate of the observation group was 2.44% lower than the control group 14.63%(χ^2=14.235, P<0.05), the incidence of intrauterine hemorrhage was 7.32% lower than the control group 17.07%(χ^2=12.864, P<0.05), the incidence of bloody lochia was 2.44% lower than the control group 9.76%(χ^2=11.539, P<0.05). Conclusion Postpartum rehabilitation can help reduce the postpartum uterine height, the amount of lochia, the postpartum hemorrhage rate, the incidence of uterine hemorrhage, the incidence of bloody lochia, and improve maternal postpartum uterine involution. It is a widely used obstetric care program.