剖宫产产后出血的原因分析及预见性护理的应用效果观察

The causes of postpartum hemorrhage after cesarean section and forecast nursing effect

目的探讨剖宫产产后出血的原因及预见性护理的应用效果。方法选取江西省妇幼保健院2014年4月—2016年3月收治的剖宫产产妇191例,随机分为观察组96例与对照组95例。整理产妇的一般资料,分析产后出血的原因,对照组产妇给予常规护理,观察组产妇给予预见性护理,比较两组产妇产后出血量及产后出血发生率。结果观察组产妇产后2、24h的出血量少于对照组,差异有统计学意义(P<0.05)。观察组产后出血发生率低于对照组,差异有统计学意义(P<0.05)。经分析发现,宫缩乏力是造成产妇产后出血的最重要原因,其次为胎盘因素、切口裂伤、血管破裂。结论诱发剖宫产产后出血的因素较多,其中宫缩乏力、胎盘因素、凝血障碍、软产道损伤所占比重较大,为保证产妇安全,可依据产妇具有的高危因素制定预见性护理干预,可有效降低出血发生率。

Objective To analyze the causes of postpartum hemorrhage after cesarean section and forecast nursing effect. Methods From April 2014 to March 2016 in Maternal and Child Health Care Hospital of Jiangxi Province 191 cases of maternal cesarean section were selected,which were randomly divided into control group( n = 95) and observation group( n =96). Data of maternal were arranged,and the causes of postpartum hemorrhage after cesarean section were analyzed. Control group were treated with conventional nursing,and observation group were treated with forecast nursing. Among of postpartum hemorrhage and occurrence rate of postpartum hemorrhage between the two groups were compared. Results 2,24 h after cesarean section,among of postpartum hemorrhage in observation group were less than control group( P < 0. 05). Occurrence rate of postpartum hemorrhage in observation group was lower than control group( P < 0. 05). Uterine inertia was the important reason of postpartum hemorrhage after cesarean section,placenta,tearing of the wound,angiorrhexis were the second. Conclusion The factors cause to postpartum hemorrhage after cesarean section are more,uterine inertia,placenta,blood clotting disorders,soft birth canal injury are caused by the most important cause of postpartum hemorrhage,the development of nursing interventions based on maternal risk factors,can effectively reduce the probability of bleeding to ensure pregnant maternal safety.