综合护理在剖宫产瘢痕妊娠并发大出血患者中的应用效果观察

黄丽萍

[摘要] 目的 探讨综合护理在剖宫产瘢痕妊娠并发大出血患者中的应用效果。 方法 选取本院2014年5～10月收治的300例剖宫产瘢痕妊娠并发大出血患者作为研究对象，随机分为观察组和对照组，各150例。对照组采用常规护理，观察组采用综合护理。比较两组的术后排气时间、胎儿娩出时间、母乳喂养时间、住院时间及抑郁评分，记录两组新生儿的Apgar评分及护理满意度。 结果 观察组的术后排气时间、胎儿娩出时间、母乳喂养时间及住院时间显著短于对照组，差异有统计学意义（P<0.05）。观察组的抑郁评分显著低于对照组，差异有统计学意义（P<0.05）。两组的新生儿1 min Apgar评分、5 min Apgar评分比较，差异无统计学意义（P>0.05）。观察组的护理满意度为96.67%，显著高于对照组的74.00%，差异有统计学意义（P<0.05）。 结论 综合护理在剖宫产瘢痕妊娠并发大出血患者中的应用效果显著，值得临床推广应用。

[关键词] 综合护理；剖宫产；瘢痕妊娠；大出血

[中图分类号] R714.46+1 [文献标识码] A [文章编号] 1674-4721（2015）05（c）-0193-03

[Abstract] Objective To explore the application effect of comprehensive nuring in patient with cesarean scar pregnancy complicated bleeding. Methods 300 patients with cesarean scar pregnancy complicated bleeding in our hospital from May 2014 to October were selected and randomly divided into the observation group and the control group，150 cases in each group.The control group was given usual nurings，the observation group was given comprehensive care.The postoperative discharge time，the fetus time，breastfeeding time hospital stay，and depression scores in two groups was compared，neonatal Apgar score and degree of was recorded. Results The postoperative discharge time，the fetus time，breastfeeding time and hospital stay of the observation group was shorter than that of the control group，depression score was lower than that of the control group，with significant difference（P<0.05）.The 1 min Apgar score and 5 min Apgar score between two groups had no significant difference（P>0.05）.The degree of nursing satisfaction in the observation group was 96.67%，which was higher than 74.00% in the control group，with significant difference（P<0.05）. Conclusion The application effect of comprehensive nursing in patient with cesarean scar pregnancy complicated bleeding is significant，it is worthy of clinical promotion and application.

[Key words] Comprehensive nursing；Cesarean；Scar pregnancy；Bleeding

近年来，随着剖宫产率的提高，剖宫产术后子宫瘢痕的发病率也在呈上升趋势。子宫瘢痕会给再次分娩的妇女带来严重的负面影响，如果在分娩前后没有及时给予有效的护理干预，则会对妇女及其所产婴儿造成严重的不良影响[1]。本研究选取本院的剖宫产瘢痕妊娠并发大出血患者作为研究对象，探讨综合护理在剖宫产瘢痕妊娠并发大出血患者中的应用效果。

1 资料与方法

1.1 一般资料

选取本院2014年5～10月的300例剖宫产瘢痕妊娠并发大出血患者作为研究对象，年龄为27～42岁，平均（32.56±14.19）岁；平均孕周（35.27±12.46）周；距上次剖宫产手术时间1～6年，平均（2.96±0.38）年。所有患者均有既往剖宫产史，部分患者有既往人工流产史，入院均接受体检，并经B超检查确诊为瘢痕子宫。……