产后康复护理对剖宫产产妇泌乳和子宫复旧的影响

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摘要目的探讨产后康复护理对剖宫产产妇泌乳和子宫复旧的影响。方法选取2018年10月～2019年8月在我院行剖宫产分娩的60 例产妇作为研究对象，根据随机数字表法将其分为对照组和观察组，每组各30 例。对照组产妇给予产后常规护理，观察组产妇在对照组的基础上联合产后康复护理干预。比较两组产妇产后泌乳情况、子宫复旧情况和并发症发生情况。结果观察组产妇的见乳时间短于对照组，差异有统计学意义（P＜0.05）；观察组产妇的泌乳量优于对照组，差异有统计学意义（P＜0.05）。观察组产妇的子宫底高度≤4 横指和子宫内膜厚度≤10 mm 占比均高于对照组，产后出血和浆液性恶露发生率均低于对照组，差异有统计学意义（P＜0.05）。观察组产妇产后并发症总发生率低于对照组，差异有统计学意义（P＜0.05）。结论产后康复护理可提高剖宫产产妇泌乳量，促进产妇子宫复旧，降低并发症发生率。

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	潘剑芝

关键词 ：产后康复护理, 剖宫产, 泌乳, 子宫复旧

Abstract：Objective To discuss the effect of postpartum rehabilitation nursing on lactation and uterine involution of parturients undergoing cesarean section. Methods A total of 60 parturients who underwent cesarean section delivery in our hospital from October 2018 to August 2019 were selected as the research objects, and they were divided into control group and observation group according to the random number table method, with 30 cases in each group.The parturients in the control group were given routine postpartum nursing, and those in the observation group were given postpartum rehabilitation nursing intervention on the basis of the control group.The postpartum lactation, uterine involution and incidence of complications were compared between the two groups. Results The lactation time of the observation group was shorter than that of the control group, and the difference was statistically significant (P＜0.05).The lactation condition of the observation group was better than that of the control group,and the difference was statistically significant(P＜0.05).The proportions of the observation group with the height of uterine fundus≤4 transverse fingers and the thickness of endometrium≤10 mm were higher than those of the control group, and the incidence rates of postpartum hemorrhage and serous lochia were lower than those of the control group, with statistically significant differences (P＜0.05).The total incidence rate of postpartum complications in the observation group was lower than that in the control group,and the difference was statistically significant (P＜0.05). Conclusion Postpartum rehabilitation nursing can improve the lactation of caesarean section parturients, promote the uterine involution, and reduce the incidence of complications.

Key words： Postpartum rehabilitation nursing Cesarean section Lactation Uterine involution

引用本文:

潘剑芝. 产后康复护理对剖宫产产妇泌乳和子宫复旧的影响[J]. 中国当代医药, 2020, 27(15): 250-252.
PAN Jian-zhi. Effect of postpartum rehabilitation nursing on lactation and uterine involution of parturients undergoing cesarean section caesarean women. 中国当代医药, 2020, 27(15): 250-252.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2020/V27/I15/250

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