目的:相对于择期剖宫产,中转剖宫产产妇术后更容易发生各类并发症,不利于术后康复,本研究拟探讨加速康复外科(enhanced recovery after surgery,ERAS)理念在中转剖宫产围手术期中的应用效果。方法:选取入住长沙市妇幼保健院行中转剖宫...目的:相对于择期剖宫产,中转剖宫产产妇术后更容易发生各类并发症,不利于术后康复,本研究拟探讨加速康复外科(enhanced recovery after surgery,ERAS)理念在中转剖宫产围手术期中的应用效果。方法:选取入住长沙市妇幼保健院行中转剖宫产术的初产妇260例,将2021年1月1日至11月30日的130例初产妇作为对照组,围手术期实施常规护理干预,将2021年12月1日至2022年10月31日的130例初产妇作为观察组,围手术期实施ERAS理念指导的护理干预。比较2组产妇术中和术后出血量、术后不同时间段疼痛评分、术后首次离床时间、肛门排气时间,术后腹胀、肠梗阻、尿潴留发生情况,以及住院时间、初始泌乳时间、满意度及抑郁焦虑评分。结果:观察组术后不同时段的疼痛指数均低于对照组,术后首次离床时间、肛门排气时间、初始泌乳时间均早于对照组(均P<0.05);观察组术后腹胀发生率低于对照组,住院时间短于对照组(均P<0.05);观察组术后满意度及心理状态优于对照组,差异均有统计学意义(均P<0.05)。2组产妇术中和术后出血量、尿潴留发生情况差异均无统计学意义(均P>0.05),2组产妇均未发生肠梗阻。结论:ERAS理念下围手术期管理能减少中转剖宫产产妇术后并发症的发生,缩短住院时间,促进母乳喂养,提高产妇住院满意度,改善其产后心理状态。展开更多
Environmental problems like haze have brought great pressure to current environmental protection management. On the one hand, plan EIA should be promoted further in all industries; on the other hand, the current achie...Environmental problems like haze have brought great pressure to current environmental protection management. On the one hand, plan EIA should be promoted further in all industries; on the other hand, the current achievements and methods of plan EIA should be summarized and innovated. And the EIA supervision and project access can be improved further through the coordination between plan EIA and project EIA. In this study, from the three levels of plan EIA policy framework, five problems of plan EIA in power sector were analyzed according to the current situation of plan EIA in power sector. Based on the present achievements, five macroscopic suggestions were proposed from the view of innovation accord- ing to the new environmental protection situation and requirements at present.展开更多
文摘目的:相对于择期剖宫产,中转剖宫产产妇术后更容易发生各类并发症,不利于术后康复,本研究拟探讨加速康复外科(enhanced recovery after surgery,ERAS)理念在中转剖宫产围手术期中的应用效果。方法:选取入住长沙市妇幼保健院行中转剖宫产术的初产妇260例,将2021年1月1日至11月30日的130例初产妇作为对照组,围手术期实施常规护理干预,将2021年12月1日至2022年10月31日的130例初产妇作为观察组,围手术期实施ERAS理念指导的护理干预。比较2组产妇术中和术后出血量、术后不同时间段疼痛评分、术后首次离床时间、肛门排气时间,术后腹胀、肠梗阻、尿潴留发生情况,以及住院时间、初始泌乳时间、满意度及抑郁焦虑评分。结果:观察组术后不同时段的疼痛指数均低于对照组,术后首次离床时间、肛门排气时间、初始泌乳时间均早于对照组(均P<0.05);观察组术后腹胀发生率低于对照组,住院时间短于对照组(均P<0.05);观察组术后满意度及心理状态优于对照组,差异均有统计学意义(均P<0.05)。2组产妇术中和术后出血量、尿潴留发生情况差异均无统计学意义(均P>0.05),2组产妇均未发生肠梗阻。结论:ERAS理念下围手术期管理能减少中转剖宫产产妇术后并发症的发生,缩短住院时间,促进母乳喂养,提高产妇住院满意度,改善其产后心理状态。
基金Supported by the Scientific Research Project of Environmental Protection Public Welfare Industry (201509021)
文摘Environmental problems like haze have brought great pressure to current environmental protection management. On the one hand, plan EIA should be promoted further in all industries; on the other hand, the current achievements and methods of plan EIA should be summarized and innovated. And the EIA supervision and project access can be improved further through the coordination between plan EIA and project EIA. In this study, from the three levels of plan EIA policy framework, five problems of plan EIA in power sector were analyzed according to the current situation of plan EIA in power sector. Based on the present achievements, five macroscopic suggestions were proposed from the view of innovation accord- ing to the new environmental protection situation and requirements at present.
