研究探讨产房助产士对产后出血临床预防处理及护理效果

Study on the clinical preventive treatment and nursing effect of midwife in delivery room on postpartum hemorrhage

目的:观察产房助产士在产后出血临床预防处理及护理中的应用效果。方法:本研究84例分娩产妇均于本院2018年2月至2019年5月接收,以双模拟法为标准分为对照组(常规护理方法)与观察组(产房助产士全程陪护),每组42例,观察护理效果。结果:观察组产后2h内出血率、产后2~6h出血率(2.38%,7.14%)比对照组(14.29%,26.19%)低,差异明显(χ^2=3.896,5.486;P=0.048,0.019);在ARDS、新生儿窒息和早产总发生率方面,观察组为4.76%,对照组为21.43%,观察组较对照组低,差异显著(χ^2=5.126,P=0.024)。结论:产房助产士在预防产后出血中具有较高的应用价值,不仅可以降低出血率,同时有助于预后改善。

Objective:To observe the effect of the midwife in the delivery room in the clinical prevention and nursing of postpartum hemorrhage.Methods:84 parturients in this study were received by our hospital from February 2018 to May 2019.According to the double simulation method,they were divided into the control group(routine nursing method)and the observation group(midwife in the delivery room)with 42 cases in each group to observe the nursing effect.Results:The bleeding rate within 2h and 2~6h in the observation group(2.38%,7.14%)was significantly lower than that in the control group(14.29%,26.19%)(χ^2=3.896,5.486;P=0.048,0.019);in terms of the total incidence of ARDS,neonatal asphyxia and preterm birth,the observation group was 4.76%,the control group was 21.43%,the observation group was significantly lower than the control group(χ^2=5.126;P=0.024).Conclusion:The midwife in the delivery room has a high application value in the prevention of postpartum hemorrhage.It can not only reduce the bleeding rate,but also improve the prognosis.It is worth adopting and popularizing.