观察自体血回输在剖宫产失血性休克中的应用与护理

Application and Nursing Observation of Autologous Blood Reinfusion in Hemorrhagic Shock During Cesarean Section

目的 评估在剖宫产失血性休克治疗中应用自体血回输的应用和护理方式。方法 选择江门妇幼保健院2018年6月至2020年6月收治的60例剖宫产失血性休克患者,使用随机数字表法分为对照组与观察组,每组30例,对照组接受异体血输注联合常规护理,观察组接受自体血回输联合综合护理,对比两组剖宫产失血性休克患者的整体护理效果。结果 护理前,观察组及对照组患者负性心理状态差异无统计学意义(P>0.05),护理后,观察组负性心理状态评分与对照组比较,差异有统计学意义(P<0.05);观察组的治疗总有效率高于对照组,差异有统计学意义(P<0.05);观察组住院时间短于对照组,观察组的护理满意度评分高于对照组,差异有统计学意义(P<0.05);观察组术后血液检测指标和凝血功能指标(白细胞、红细胞、Hb、Hct、PLT)均接近正常,优于对照组,差异有统计学意义(P<0.05)。观察组心理状况、日常生活、躯体生理功能、社交活动与自觉症状评分均高于对照组,差异有统计学意义(P<0.05)。结论 在剖宫产失血性休克治疗中应用自体血回输的效果显著,能够有效改善患者的预后与生存质量,有利于缩短患者恢复时间,提升满意度,值得推广使用。

Objective To evaluate application and nursing methods of autologous blood transfusion in treatment of hemorrhagic shock after cesarean section.Methods The paper chose 60 patients with cesarean section hemorrhagic shock in our hospital from June 2018 to June 2020,and divided them into control group and observation group randomly,with 30 cases in each group.Control group was treated with allogeneic blood transfusion combined with routine nursing,and observation group with autologous blood transfusion combined with comprehensive nursing.Overall nursing effect was compared between two groups.Results Before nursing,there was no significant difference in negative psychological state between observation and control group (P>0.05).After nursing,there was significant difference in negative psychological state scores between observation group and control group (P<0.05).Total effective rate of observation group was higher than control group (P<0.05);length of stay in observation group was shorter than control group,nursing satisfaction scores of observation group was higher than control group (P<0.05);postoperative blood test indexes and coagulation function indexes (leukocyte,erythrocyte,Hb,HCT and PLT) in observation group were close to normal,better than control group (P<0.05).Scores of psychological status,daily life,physical physiological function,social activities and conscious symptoms in observation group were significantly higher than control group (P<0.05).Conclusion Autologous blood transfusion can achieve significant effect in treatment of hemorrhagic shock after cesarean section,improve prognosis and life quality of patients effectively,shorten recovery time and improve their satisfaction degree,which is worthy of promotion and application.