首页|快速康复理念在阴道分娩中的临床应用

快速康复理念在阴道分娩中的临床应用

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目的 探讨快速康复理念(ERAS)在阴道分娩中的临床应用。方法 选取乌鲁木齐友爱医院2021年6月至2022年6月收治的200例产妇作为研究对象,采用随机数字表法将其分为ERAS组(100例)与对照组(100例)。ERAS组在分娩过程中实施快速康复理念措施,对照组在分娩中实施常规措施。比较两组的产后出血量、会阴侧切率、尿潴留率、泌乳启动延迟率、子宫复旧不良率、产后住院时间、产前焦虑程度、产后2 d的抑郁程度、产褥病率、再次入院情况和患者对医院服务的满意率。结果 ERAS组会阴侧切、尿潴留、泌乳启动延迟发生率低于对照组,产后出血量少于对照组,产后住院时间短于对照组,产前焦虑程度、产后2 d的抑郁程度低于对照组,患者满意度高于对照组,差异有统计学意义(P<0。05);两组产褥病率、子宫复旧不良的发生率和再次入院人数比较,差异无统计学意义(P>0。05)。结论 ERAS应用于阴道分娩,减轻了产妇的心理负担,降低了分娩并发症的发生率,缩短了住院时间,加速产后恢复,提升了患者的满意度,保障了母婴安全。
Clinical application of enhanced recovery after surgery in vaginal delivery
Objective To investigate the clinical application of enhanced recovery after surgery(ERAS)in vaginal delivery.Methods A total of 200 puerperae admitted to Urumqi Youai Hospital from June 2021 to June 2022 were selected as the re-search objects,and they were divided into ERAS group(100 cases)and control group(100 cases)by random number table method.The ERAS group implemented rapid rehabilitation concept measures during childbirth,and the control group Routine measures were implemented during childbirth,and the postpartum hemorrhage volume,episiotomy rate,urinary retention rate,lactation delay rate,poor uterine involution rate,postpartum hospital stay,prenatal anxiety level,postpartum 2-day depression degree,and delivery rate,bed sickness rate,readmission rate,and satisfaction rate of patients with hospital services were compared between the two groups.Results The incidences of lateral perineal resection,urinary retention and delayed lactation initiation in ERAS group were lower than those in control group,the degree of antepartum anxiety and 2-day postpartum depression were lower than those of the control group,and the patients'satisfaction was higher than that of the control group,the differences were statistically significant(P<0.05).There were no significant differences in the inci-dence of puerperal disease,abnormal uterine involution and readmission between the two groups(P>0.05).Conclusion The application of ERAS in vaginal delivery can reduce the psychological burden of puerperae,reduce the occurrence of child-birth complications,shorten hospital stay,accelerate postpartum recovery,improve patient satisfaction,and ensure the safety of mother and child.

ObstetricsVaginal deliveryEnhanced recovery after surgeryComplication

赵晓琴、刘晓辉、王燕萍、马瑛

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乌鲁木齐友爱医院产科,新疆乌鲁木齐 830001

产科 阴道分娩 快速康复理念 并发症

新疆维吾尔自治区乌鲁木齐市妇幼保健院科技计划项目

202102

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(8)
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