摘要
目的探究前瞻性护理联合中药外敷对高危孕产妇剖宫产术后切口愈合不良的效果。方法选取2019年3月至2020年5月于中山市博爱医院产科行剖宫产术的200例高危孕产妇为研究对象,按照随机数字表法将其分为对照组(n=100)和观察组(n=100)。对照组产妇采用常规护理,观察组产妇在常规护理的基础上采用前瞻性护理联合中药外敷。比较2组产妇在干预1 d、3 d和6 d后的疼痛程度,以及切口肿胀评分和术后切口愈合不良情况发生率。结果干预3 d和6 d后,2组的视觉模拟评分法(VAS)评分和切口肿胀程度评分均显著低于同组干预1 d后(P均<0.05),且观察组均显著低于同期对照组(P均<0.05)。干预6 d后,2组的VAS评分和切口肿胀程度评分均显著低于同组干预3 d后(P均<0.05),且观察组均显著低于对照组(P均<0.05)。观察组术后6 d的切口愈合不良情况发生率为4.00%,显著低于对照组的17.00%(P<0.05)。结论前瞻性护理联合中药外敷可有效降低行剖宫产术的高危孕产妇切口愈合不良发生率,缓解其术后疼痛和切口肿胀程度。
Objective To explore the effect of prospective nursing combined with external application of traditional Chinese medicine on poor incision healing after cesarean section in high-risk pregnant women.Methods A total of 200 high-risk pregnant women who underwent cesarean section from March 2019 to May 2020 in the Department of Obstetrics at Boai Hospital of Zhongshan were enrolled and divided into a control group(n=100)and an observation group(n=100)with a random number table.The control group was treated with conventional nursing,and the observation group was treated with prospective nursing combined with external application of traditional Chinese medicine on the basis of conventional nursing.The pain degree,incision swelling score,and incidence of poor healing incision after 1,3 and 6 days of intervention were compared between the two groups.Results After 3 and 6 days of intervention,the visual analogue scale(VAS)scores and incision swelling scores of the two groups were significantly lower than those after 1 day of intervention(all P<0.05),and the above scores in the observation group were significantly lower than those in the control group(all P<0.05).After 6 days of intervention,the VAS scores and incision swelling scores of the two groups were significantly lower than those after 3 days of intervention(all P<0.05),and the above scores of the observation group were significantly lower than those of the control group(both P<0.05).After 6 days of intervention,the incidence of poor incision healing in the observation group was 4.00%,which was significantly lower than 17.00%in the control group(P<0.05).Conclusion Prospective nursing combined with external application of traditional Chinese medicine can effectively reduce the incidence of poor incision healing in high-risk pregnant women undergoing cesarean section,and relieve their postoperative pain and incision swelling.
作者
麦亚映
聂婉玲
梁巧云
MAI Yaying;NIE Wanling;LIANG Qiaoyun(Department of Obstetrics,Boai Hospital of Zhongshan,Zhongshan,Guangdong,528400,China)
出处
《中西医结合护理（中英文）》
2021年第5期65-68,共4页
Journal of Clinical Nursing in Practice
基金
中山市卫生健康局医学科研项目(2021J243)。
关键词
前瞻性护理
中药外敷
剖宫产
高危孕产妇
切口愈合不良
prospective nursing
external application of traditional Chinese medicine
cesarean section
high-risk pregnant woman
poor incision healing
