改良子宫切口剖宫产用于完全性前置胎盘中的围术期护理

摘要

目的：探讨围手术期护理在完全性前置胎盘改良子宫切口剖宫产中的应用效果。方法选取本院2011年8月~2013年8月收治的的52例完全性前置胎盘患者作为研究对象，随机分为对照组和观察组，各26例。两组均实施改良子宫切口剖宫产术，对照组给予常规剖宫产护理，观察组给予围术期护理。比较两组的产妇围术期结果及新生儿结局。结果观察组的围术期并发症发病率为11.54%，显著低于对照组的23.08%，差异有统计学意义(P<0.05)。观察组的术中出血量、胎儿娩出时间显著低于对照组，差异有统计学意义(P<0.05)。观察组的1 min Apgar 评分<6分者、5 min Apgar评分<6分者所占比例显著低于对照组，差异有统计学意义(P<0.05)。结论围术期护理在完全性前置胎盘改良子宫切口剖宫产中的应用效果显著，可有效降低围术期并发症发病率，防止产后出血发生，提高母婴健康水平。%Objective To explore the application effect of perioperative nursing on the modified uterine incision cesare-an section in the treatment of complete placenta previa. Methods 52 cases with complete placenta previa from August 2011 to August 2013 in our hospital were selected and randomly divided into the control group and the observation group,26 cases in each group.All patients were implemented the modified uterine incision cesarean section.The control group was given routine nursing,the observation group was given perioperative nursing.The outcome of maternal and neonatal in the perioperative period in two groups was compared. Results The morbidity rate of complication in periop-eration period in the observation group was 11.54%,which was lower than 23.08% in the control group,with significant difference (P<0.05).The amount of intraoperative blood loss,the fetal childbirth time in the observation group was lower than that in the control group,with significant difference (P<0.05).The proportion of 1 min Apgar score<6 points and 5 min Apgar score<6 points in the observation group was lower than that in the control group,with significant difference (P<0.05). Conclusion The application effect of perioperative nursing on the modified uterine incision cesarean section in the treatment of complete placenta previa is significant,which can effectively reduce the incidence rate of periopera-tive complication,prevent postpartum hemorrhage,improve maternal and child health.