预见性护理应用于剖宫产产后出血护理中的临床效果

王新格

（宝鸡市人民医院产科，陕西 宝鸡，721000）

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摘要：

目的 探究预见性护理应用于剖宫产产后出血护理中的临床效果和应用意义。方法 选取2015年8月至2016年8月我院收治的88例剖宫产产妇，依照就诊单双号将所有产妇分为观察组与对照组，每组44例。对照组实施常规护理，在此基础上，观察组实施预见性护理，对比两组患者术后2、24 h出血量，产后出血发生率并探析引致出血的原因。结果 观察组产妇发生3例（6.82%）产后出血，对照组产妇发生10例（22.73%）产后出血。两组产妇产后出血率有明显差异（χ2=6.841，P<0.05）。观察组产妇2、24 h出血量均低于对照组（P<0.05）。观察组的3例产后出血中，胎盘原因1例、宫缩乏力2例，无血管破裂和切口撕裂；对照组的10 例产后出血中，血管破裂1例、胎盘原因2例、宫缩乏力6例、切口撕裂1 例。结论 对于剖宫产者实施预见性护理，可在最大程度上降低产后出血发生率，值得进一步推广使用。

关键词：剖宫产；产后出血；预见性护理

中图分类号：R473.71文献标志码：A文章编号：2096-1413(2017)27-0169-02

Clinical application effect of predictive nursing on postpartum hemorrhage after cesarean section
WANG Xin-ge
(Department of Obstetrics, People``s Hospital of Baoji, Baoji 721000, China)

ABSTRACT: Objective To explore the application effect of predictive nursing on postpartum hemorrhage after cesarean section. Methods From August 2015 to August 2016, 88 cases of postpartum hemorrhage after cesarean section admitted in our hospital were enrolled in the study, and divided into observation group and control group following the order of single and double numbers, with 44 cases in each group. The control group received routine nursing, on this basis, the observation group received predictive nursing, the 2, 24 h bleeding were compared and the incidence of postpartum hemorrhage and the causes of bleeding were analyzed. Results There were 3 cases (6.82%) of postpartum hemorrhage in the observation group and 10 cases (22.73%) in the control group, the incidence of postpartum hemorrhage in the two groups was significantly different ( χ2=6.841, P<0.05). The amounts of bleeding at 2, 24 h after operation in the observation group were lower than those in the control group (P<0.05). Of the 3 cases of postpartum hemorrhage in the observation group, there were 1 case of
placenta, 2 cases of uterine inertia and no vascular rupture, incision torn; of the 10 cases of postpartum hemorrhage in the control group, there were 1 case of vascular rupture, 2 cases of placenta, 6 cases of uterine inertia, 1 case of incision torn. Conclusion For the cesarean delivery, the implemention of predictive nursing can reduce the incidence of postpartum hemorrhage on the greatest degree, which is worthy of further promotion.
KEYWORDS: cesarean section; postpartum hemorrhage; predictive nursing

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