摘要
目的:探究快速康复外科理念(ERAS)联合揿针对剖宫产产妇产后恢复及并发症的影响。方法:选取2022年5月-2023年5月本院剖宫产产妇100例,采用随机数字表分为两组各50例。两组均接受常规护理及采用ERAS护理干预,观察组术后联合揿针干预3d。比较两组干预后恢复情况(宫底高度、子宫体积、首次离床时间、胃肠功能康复时间、首次排便时间、首次乳分泌时间、住院时间)及术后4 d内每日出血量差异,两组产后胃肠功能障碍、深静脉血栓(DVT)及尿潴留并发症发生情况。结果:干预后观察组术后4d宫底高度(13.66±1.31cm)、出血量、首次离床时间(14.22±3.01h)、胃肠功能恢复时间(18.22±4.01h)、首次排便时间(39.64±12.82h)、首次泌乳时间(39.30±17.92h)以及住院时间(7.18±0.44d)均低于对照组(14.22±1.26cm、16.42±3.98h、21.10±5.74h、47.64±15.27h、58.64±24.44h、7.48±0.65d),并发症总发生率观察组(10.0%)低于对照组(32.0%)(均P<0.05)。结论:剖宫产围术期ERAS联合术后揿针,能有效促进产妇子宫复旧,帮助胃肠功能恢复,降低产后并发症发生,对预后康复有利。
Objective:To explore the effects of the enhanced recovery after surgery(ERAS)concept combined with the press-needle for treating puerperaes after cesarean section on their postpartum recovery and complications occurrence.Methods:100 puerperaes after cesarean section were selected and were divided into two groups(50 cases in each group)by random number table from May 2022 to May 2023.The puerperaes in both groups had received the intervention of routine nursing and ERAS nursing,and the puerperaes in the observation group were given press-needle for intervention for 3 days additionally.After intervention,the recovery status(the fundal height,the uterine volume,the time of the first getting out of the bed,the gastrointestinal function recovery time,the first defecation time,the first lactation time and the duration of hospital stay),the difference of daily blood loss within 4 days after surgery,and the incidences of the postoperative complications,such as postpartum gastrointestinal dysfunction,deep venous thrombosis(DVT)and urinary retention,of the puerperaes were compared between the two groups.Results:After intervention,the height of uterine fundus(13.66±1.31cm),the first time of getting out of bed(14.22±3.01h),the recovery time of gastrointestinal function(18.22±4.01h),the first defecation time(39.64±12.82h),the first lactation time(39.30±17.92h)and the duration of hospitalization(7.18±0.44d)of the puerperaes in the observation group were significantly lower than those(14.22±1.26cm,16.42±3.98h,21.10±5.74h,47.64±15.27h,58.64±24.44h and 7.48±0.65d)of the puerperaes in the control group.The amount of bleeding of the puerperaes in the observation group was significantly lower than that of the puerperaes in the control group.The total incidence of complications of the puerperaes in the observation group(10.0%)was significantly lower than that(32.0%)of the puerperaes in the control group(all P<0.05).Conclusion:The press-needle combined with the ERAS concept used for the puerperaes during perioperative period can effectively promote their uterine involution,help their gastrointestinal function recovery and reduce their risk of postpartum complications,and which is beneficial to the prognosis and the rehabilitation of the puerperaes.
作者
胡梦佳
李珺璐
叶双
HU Mengjia;LI Junlu;YE Shuang(Yongkang Maternal and Child Health Care Hospital,Yongkang,Zhejiang Province,321300)
出处
《中国计划生育学杂志》
2024年第3期609-613,共5页
Chinese Journal of Family Planning
关键词
剖宫产
快速康复外科理念
揿针
产后恢复
Cesarean section
Enhanced recovery after surgery concept
Press-needle
Postpartum recovery
