快速康复路径促进剖宫产产妇术后康复的临床研究

Clinical study on promoting postoperative recovery of cesarean section parturients through rapid rehabilitation pathway

目的研究快速康复路径促进剖宫产产妇术后康复的临床效果。方法选取60名剖宫产产妇,采用随机抽签法分为两组,每组30名。对照组、观察组分别采用常规护理、快速康复路径。比较两组术后康复时间、疼痛情况、新生儿Apgar评分及产妇汉密尔顿抑郁量表(HAMD)评分。结果观察组产妇肛门排气时间、下床活动时间、切口愈合时间均短于对照组,差异具有统计学意义(P<0.05)。两组产妇术前1d的视觉模拟评分法(VAS)评分比较,差异无统计学意义(P>0.05);术后2d观察组VAS评分明显低于对照组,差异具有统计学意义(P<0.05)。观察组新生儿Apgar评分高于对照组,产妇HAMD评分(15.51±1.30)分低于对照组的(23.60±1.51)分,差异具有统计学意义(P<0.05)。结论快速康复路径可促进剖宫产产妇术后康复,缩短下床活动时间、切口愈合时间,改善产妇不良情绪,缓解疼痛,具有临床应用价值。

Objective To study the clinical effect of rapid rehabilitation pathway on postoperative recovery of cesarean section women.Methods 60 cesarean section women and divide them into two groups using random drawing method,with 30 women in each group.The control group and the observation group were treated with routine nursing and rapid rehabilitation pathways,respectively.Compare the postoperative recovery time,pain level,newborn Apgar score,and maternal hamilton depression scale(HAMD)score between two groups.Results The observation group had shorter anal exhaust time,ambulation time,and incision healing time compared to the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference(P>0.05)in the visual analogue scale(VAS)scores between the two groups of parturients 1 day before surgery;The VAS score of the observation group was significantly lower than that of the control group 2 days after surgery,and the difference was statistically significant(P<0.05).The Apgar score of newborns in the observation group was higher than that in the control group,and the HAMD score of parturients(15.51±1.30)points was lower than that of the control group(23.60±1.51)points,with a statistically significant difference(P<0.05).Conclusion The rapid recovery pathway can promote postoperative recovery of cesarean section women,shorten the time for getting out of bed and wound healing,improve adverse emotions in women,alleviate pain,and has clinical application value.