快速康复外科干预在产科剖宫产术围手术期的临床应用研究

Clinical application of rapid rehabilitation surgical intervention in the periopera-tive period of obstetric cesarean section

目的探讨快速康复外科干预在产科剖宫产术患者围手术期的应用及效果。方法选取2017年7月-2018年1月新疆乌鲁木齐市妇幼保健医院产科接收的100例名孕妇作为对象,采用随机数字表分为两组,各50例,对照组围手术期行常规常规剖宫产,观察组行快速康复外科干预,观察两组患者术后出血量、子宫复旧、并发症发生情况等。结果与对照组比较,观察组产后出血量显著更少,初次离床活动、首次肛门排气和排便、泌乳、住院时间均显著缩短(t=4.450、3.473、14.058、5.402、3.601、20.714,均P<0.05);观察组术后子宫复旧程度显著大于对照组(t=6.119,P<0.05);观察组术后并发症总发生率为6.00%,显著低于对照组的20.00%,满意度为98.00%,显著高于对照组的86.00%(χ2=4.332、4.891,均P<0.05)。结论产科剖宫产患者围手术期行基于快速康复外科的干预,可有效提高子宫复旧,减少术后并发症,促进患者康复,提升患者满意度。

Objective To evaluate the application and effect of rapid rehabilitation surgical intervention in perioperative nursing care of patients undergoing obstetric cesarean section.Methods 100 pregnant women admitted to Urumqi Ma⁃ternal and Child Health Care Hospital from July 2017 to January 2018 were selected and divided into two groups ac⁃cording to random number table.The Control Group(50 cases)received routine cesarean section nursing,while the ob⁃servation group(50 cases)received rapid rehabilitation surgical nursing intervention.The postoperative indexes,pain degree,involution of uterus and complications were observed.Results Compared with the control group,the amount of postpartum hemorrhage in the observation group was significantly less,the first discharge from bed,the first hepatic portal exhaust and defecation,lactation and hospitalization were significantly shorter(t=4.450,3.473,14.058,5.402,3.601,20.714,P<0.05).The degree of uterine involution in the observation group was significantly higher than that in the control group(t=6.119,P<0.05).The total incidence of postoperative complications in the observation group was 6.00%,which was significantly lower than that in the control group(20.00%),and the satisfactory rate was 98.00%,significantly higher than that in the control group(86.00%)(χ2=4.332,4.891,P<0.05).Conclusion Perioperative nursing intervention based on rapid rehabilitation surgery for patients undergoing cesarean section in obstetrics,can ef⁃fectively reduce postoperative pain,improve uterine involution,reduce postoperative complications,promote patients faster recovery,improve patient satisfaction.