摘要
目的:探讨快速康复护理应用在剖宫产术后子宫复药物治疗期间的效果。方法:选取2022年3月—2025年2月本院妇产科收治的88例行剖宫产分娩的产妇作为研究对象,根据入院先后顺序分为两组(各44例)。两组均在产后应用缩宫素和产后逐瘀清宫胶囊,用药治疗期间,对照组给予常规术后护理,观察组实施快速康复护理。比较两组子宫复旧情况、月经复潮情况、产后开始泌乳时间、术后48 h切口疼痛程度。结果:相比对照组,观察组产后24 h出血量更少,宫底下降总高度值更高,血性恶露持续时间、腹痛持续时间及子宫压痛缓解时间均更短(P<0.05)。观察组月经复潮时间≤30d者、复潮规律者占比均高于对照组(P<0.05)。相比对照组,观察组开始泌乳时间、切口愈合时间更短,术后48h切口疼痛程度更轻(P<0.05)。结论:在剖宫产术后用药治疗过程中实施快速康复护理能有效减少产后出血,促进剖宫产术后子宫复旧,减轻切口疼痛,加快伤口愈合,促进泌乳。
Objective:To explore the application effect of rapid rehabilitation nursing in uterine involution after cesarean section during the traditional chinese medicine treatment period.Methods:From March 2022 to February 2025,88 parturients who underwent cesarean section in the obstetrics and gynecology department of our hospital were selected as the research objects.According to the order of admission,they were divided into two groups(44 parturients in each group).Both groups were treated with oxytocin and postpartum Zhuyu capsules after delivery.During the treatment period,the control group was given routine postoperative nursing,and the observation group was given rapid rehabilitation nursing.The uterine involution,menstrual resurgence,the time of postpartum lactation,and the degree of incision pain 48 h after operation were compared between the two groups.Results:Compared with the control group,the observation group had less blood loss within 24 hours after delivery,higher total height of uterine fundus descent,shorter duration of bloody lochia,duration of abdominal pain and relief time of uterine tenderness(P<0.05).The proportion of menstruation recovery time≤30 d and regular menstruation recovery in the observation group was higher than that in the control group(P<0.05).Compared with the control group,the time of lactation and incision healing in the observation group were shorter,and the degree of incision pain was lighter at 48 h after operation(P<0.05).Conclusion:Rapid rehabilitation nursing can effectively reduce postpartum hemorrhage,promote uterine involution after cesarean section,reduce incision pain,accelerate wound healing and promote lactation.
作者
周敬
张白云
周艳艳
ZHOU Jing;ZHANG Baiyun;ZHOU Yanyan(Obstetrics and Gynecology Department of Henan Provincial Hospital of Traditional Chinese Medicine,Zhengzhou,450000,Henan China)
出处
《中国药物滥用防治杂志》
2025年第9期1762-1764,共3页
Chinese Journal of Drug Abuse Prevention and Treatment
基金
河南省中医药科学研究专项课题(编号:20-21ZY3015)。
关键词
子宫复旧
伤口愈合
剖宫产
快速康复护理
产后出血
Uterine involution
Wound healing
Cesarean section
Rapid rehabilitation nursing
Postpartum hemorrhage
