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手术室复合保温护理对剖宫产产妇及新生儿的影响

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目的:探究剖宫产术应用手术室复合保温护理对产妇寒战发生率、术后恢复、凝血功能、疼痛及其新生儿的影响.方法:选取2020年6月—2023年6月本院计划剖宫产产妇92例,随机分为两组各46例,对照组采用常规保温护理,观察组行手术室复合保温护理,对比两组手术过程中产妇低体温和寒战发生率、术后恢复情况、凝血功能、疼痛评分和新生儿不良结局发生率.结果:观察组低体温(6.5%)、寒战(8.7%)、新生儿并发症(4.4%)发生率均低于对照组(26.1%、32.6%、23.9%),术后恢复时间低于对照组,术后24h两组凝血酶原时间、活化部分凝血活酶时间和凝血酶时间水平均升高,纤维蛋白原均降低,且观察组变化幅度大于对照组;疼痛评分观察组术前1h(7.39±0.31分)、术后12h(5.61±0.15 分)和 24h(3.88±0.23 分)均低于对照组(7.42±28 分、7.07±0.22 分、5.16±0.30 分)(均 P<0.05).结论:剖宫产手术过程中手术室复合保温干预,可降低产妇术中低体温和寒战发生率,有效缓解凝血功能和疼痛评分,改善新生儿结局,促进术后恢复.
Effects of the combined insulation nursing in operating room on parturients and neonates during cesarean section
Objective:To explore the effects of the combined insulation nursing in the operating room on the incidence of chill,the postoperative recovery,the coagulation function and the pain of parturients and their neonates.Methods:A total of 92 pregnant women who wanted cesarean section in hospital were selected and were randomly divided into two groups(46 cases in each group)from June 2020 to June 2023.The women in the control group were given conven-tional thermal insulation nursing during cesarean section,and the women in the observation group were given the com-bined thermal insulation nursing.The incidences of the hypothermia and chills,the postoperative recovery,the coagu-lation function and the pain score of the parturients and their neonatal adverse outcomes were compared between the two groups.Results:The incidences of the hypothermia(6.5%)and chill(8.7%)of the parturients and the neonatal complications(4.4%)in the observation group were significantly lower than those(26.1%,32.6%and 23.9%)in the control group.The postoperative recovery time of the parturients in the observation group was significantly less than that of the parturients in the control group.The values of the prothrombin time,activated partial thromboplastin time and thrombin time of the parturients in the two groups after operation had increased significantly,and the fibrinogen level of the parturients in the two groups after operation had decreased significantly,and the changes of which of the parturients in the observation group were significantly greater than those of the parturients in the control group.The pain scores of the parturients in the observation group at 1h before operation(7.39±0.31 points),at 12h after opera-tion(5.61±0.15 points)and at 24h after operation(3.88±0.23 points)were significantly lower than those(7.42±28 points,7.07±0.22 points and 5.16±0.30 points)of the parturients in the control group(all P<0.05).Conclusion:The combined insulation nursing in operating room for the parturients during cesarean section can reduce the incidences of their intraoperative hypothermia and chill,effectively alleviate their coagulation function and pain score,improve their neonatal outcomes,and promote their postoperative recovery.

Caesarean sectionCombined insulation nursing in operating roomPainPostoperative recoveryNeonate

郭茜、柏耀林、曹素霞

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淮南新华医疗集团新华医院(232000)

剖宫产术 手术室复合保温护理 疼痛 术后恢复 新生儿

2024

中国计划生育学杂志
国家人口计生委科学技术研究所

中国计划生育学杂志

CSTPCD
影响因子:1.759
ISSN:1004-8189
年,卷(期):2024.32(3)
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