缩宫素预防产后出血的临床观察和护理效果

Clinical Observation and Nursing Effect of Oxytocin in Preventing Postpartum Hemorrhage

目的:探究缩宫素预防产后出血的临床疗效以及护理效果。方法:2018年1月至2019年2月,共有80例产妇在本院产房分娩,应用随机分层法将产妇分为两组。对照组分娩后给予卡孕栓预防产后出血,给予常规护理;观察组分娩后给予卡孕栓、缩宫素预防产后出血,给予综合护理。对比两组产妇的产后出血量、新生儿窒息率、用药不良反应情况。结果:观察组产妇产后2h、产后24h的出血量明显比对照组更少,存在显著差异(P<0.05)。观察组的新生儿窒息率与用药不良反应(恶心、腹泻等)均比对照组更少,存在显著差异(P<0.05)。结论:缩宫素预防产后出血疗效确切,配合综合护理干预,能够做好产后监测与药物不良反应监测与处理,能够进一步减少产后出血情况。

Objective:To explore the clinical effect and nursing effect of oxytocin in preventing postpartum hemorrhage.Methods:From January 2018 to February 2019,80 parturients delivered in the delivery room of our hospital.The parturients were divided into two groups by random stratification method.The control group was given Carboprost suppository to prevent postpartum hemorrhage after delivery,and the observation group was given Carboprost suppository and oxytocin to prevent postpartum hemorrhage after delivery,and comprehensive nursing was given.The amount of postpartum hemorrhage,neonatal asphyxia rate and adverse drug reactions were compared between the two groups.Results:The amount of bleeding in the observation group at 2 hours and 24 hours after delivery was significantly less than that in the control group(P<0.05).The neonatal asphyxia rate and adverse drug reactions(nausea,diarrhea,etc.)of the observation group were less than those of the control group,with significant difference(P<0.05).Conclusion:Oxytocin is effective in preventing postpartum hemorrhage.With comprehensive nursing intervention,postpartum monitoring and adverse drug reactions can be well monitored and handled,and postpartum hemorrhage can be further reduced.