快速康复临床护理路径对剖宫产产妇的临床应用价值分析

Analysis of the Clinical Application Value of Rapid Rehabilitation Clinical Care Pathway for Women who Delivered by Cesarean Section

目的:探究快速康复临床护理路径对剖宫产产妇产后康复的临床应用价值。方法:选取2019年1月—2020年11月信阳市中医院治疗的82例剖宫产术后产妇作为研究对象,根据产妇入院先后顺序分为对照组以及观察组两组,每组各41例。对照组实施常规护理,观察组在对照组的基础上实施快速康复临床护理路径。观察并比较两组产后恢复时间、产后泌乳以及并发症发生情况。结果:观察组排气时间、下床活动时间、住院时间均短于对照组,差异有统计学意义(t=6.523、7.047、7.404,P<0.05);观察组泌乳始动时间、产后24 h泌乳量、产后48 h母乳喂养率以及出院当天纯母乳喂养率均优于对照组,差异有统计学意义(t=4.903、4.409;χ^(2)=4.037、3.976,P<0.05);观察组产后出血、尿潴留、下肢静脉血栓以及腹胀总发生率低于对照组,差异有统计学意义(χ^(2)=5.513,P<0.05)。结论:对剖宫产产妇实施快速康复临床护理路径干预助于术后康复,可提高泌乳功能,降低并发症发生风险,值得临床借鉴。

Objective:To investigate the clinical application value of rapid rehabilitation clinical care pathway on postpartum rehabilitation of women after cesarean section.Methods:82 cases of post-cesarean section women treated in the hospital from January 2019 to November 2020 were selected as the study subjects and were divided into two groups according to the order of maternal admission,the control group as well as the observation group,with 41 cases in each group.The control group implemented conventional care,and the observation group implemented the rapid recovery clinical care pathway on the basis of the control group.The postpartum recovery time,postpartum lactation and the occurrence of complications were observed and compared between the two groups.Results:The time to ventilate,time to get out of bed and hospital stay were shorter in the observation group than in the control group,and the differences were statistically significant(t=6.523,7.047,7.404,P<0.05).The observation group had better lactation initiation time,24-h postpartum lactation,48-h postpartum breastfeeding rate,and exclusive breastfeeding rate on the day of discharge than the control group,with statistically significant differences(t=4.903,4.409;χ^(2)=4.037,3.976,P<0.05).The overall incidence of postpartum hemorrhage,urinary retention,lower limb venous thrombosis,and abdominal distension was lower in the observation group than in the control group,and the difference was statistically significant(χ^(2)=5.513,P<0.05).Conclusion:The implementation of a rapid recovery clinical care pathway intervention for cesarean delivery mothers to facilitate postoperative recovery can improve lactation function and reduce the risk of complications,which is worthy of clinical reference.