目的 探讨剖宫产产妇首次下床活动的最佳时间,为临床剖宫产术后活动指导提供科学依据.方法 选取2016年1—12月行剖宫产的产妇531名,随机分为3组,第1组(A组)术后首次下床活动时间为术后6~8 h,第2组(B组)为术后9~11 h,第3组(C组)为术后≥12 h,对3组产妇术后24 h阴道出血量、术后首次排气时间、伤口愈合情况、尿潴留发生情况、下肢静脉血栓发生情况以及产妇舒适度和疼痛评分进行评定.结果 3组产妇术后首次排气时间、产妇首次下床舒适度、首次下床活动以及术后24 h下床活动时疼痛评分,差异均有统计学意义(F值分别为4.541、10.731、12.060、3.214;P<0.05),且A组首次下床活动舒适度、疼痛评分优于其他两组;3组伤口愈合情况、尿潴留发生情况、下肢静脉血栓发生情况以及术后24 h舒适度评分,差异均无统计学意义(P>0.05).结论 剖宫产产妇术后首次下床活动时间为6~8 h最为合理.%Objective To explore the optimal time for first ambulation out of bed after cesarean delivery,so as to provide a scientific basis for postoperative exercise guidance after cesarean section. Methods From January to December 2016,a total of 531 cases of cesarean section were selected and randomly divided into three groups. In the first group,the first time of out of bed ambulation was 6 to 8 hours (Group A);the second group was 9 to 11 hours (Group B);and the third group was over 12 hours (Group C). The maternal vaginal blood loss within 24 hours after operation,the first time of postoperative exhaust,wound healing,urinary retention,lower limbs deep vein thrombosis and maternal comfort and pain scores were assessed in the 3 groups. Results The differences in the first exhaust time,the comfort degree of first time ambulation,the pain scores of the first ambulation and 24 hours after operation among the 3 groups were statistically significant (F=4.541, 10.731,12.060,3.214;P< 0.05),and the comfort degree of Group A was better than those of the other two groups. There was no statistical difference in wound healing,urinary retention,lower limbs deep vein thrombosis and 24 hours postoperative comfort score among the 3 groups (P>0.05). Conclusions The most reasonable time for the first off-bed ambulation after cesarean section is 6 to 8 hours.
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