基于危险因素的预警预控干预在减少瘢痕子宫再次剖宫产术后出血中的应用观察

Application of early warning and pre-control intervention based on risk factors in reducing bleeding after repeated cesarean section with scarred uterus

目的分析基于危险因素的预警预控干预在减少瘢痕子宫再次剖宫产术后出血中的应用价值。方法选取崇仁县妇幼保健院2019年7月一2021年6月收治的剖宫产产妇60例,采用投掷随机法分为观察组与对照组各30例。对照组采用常规护理,观察组采用基于危险因素的预警预控干预,对比2组术中和术后出血量、并发症、新生儿阿普加(Apgar)评分、泌乳情况及产妇应对方式。结果观察组产妇术中、术后出血量明显低于对照组(P<0.05);观察组产妇并发症发生率(6.66%)明显低于对照组(30.00%)(P<0.05);观察组新生儿出生后5minApgar评分明显高于对照组(P<0.05);观察组产妇泌乳效果(96.66%)优于对照组(76.66%)(P<0.05);干预后,观察组产妇积极应对评分高于对照组,消极应对评分低于对照组(P<0.05)。结论基于危险因素的预警预控干预可改善瘢痕子宫再次剖宫产产妇出血量,减少并发症的发生,提高新生儿Apgar评分,同时还可改善产妇泌乳状况及应对方式。

Objectivee To analyze the application value of risk factors-based early warning and pre-control intervention on reducing the bleeding after repeated cesarean section with scarred uterus.Methods 60 puerperae undergoing cesarean section admitted to the hospital were selected between July 2019 and June 2021,and the puerperae were divided into observation group(30 cases)and control group(30 cases)by random throwing method.The control group underwent routine nursing,while the observation group adopted early warning and pre-control intervention based on risk factors.Volumetric method was used to evaluate the bleeding volume,and the complications were statistically analyzed.The neonatal Apgar score was performed,and the lactation status was recorded and the coping styles were compared.Results The intraoperative bleeding volume and postoperative bleeding volume in observation group were significantly less than those in control group(P<0.05).The incidence rate of maternal complications of 6.66%in observation group was significantly lower than 30.00%in control group(P<0.05).The neonatal Apgar score was significantly higher in observation group compared with that in control group(P<0.05).The maternal lactation effect in observation group was higher compared to control group(96.66%vs 76.66%)(P<0.05).After intervention,the maternal positive coping score in observation group higher while the negative coping score was lower compared to control group(P<0.05).Conclusion Early warning and pre-control intervention based on risk factors can improve the maternal bleeding volume and reduce the occurrence of complications.In addition,it can not only enhance the neonatal Apgar score and improve the neonatal outcomes,but also improve the maternal lactation status and maternal coping styles.