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剖宫产术后6h产妇下床活动对产后康复的影响

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目的 探讨剖宫产术后 6 h产妇下床活动对产后康复的影响。方法 选择厦门大学附属第一医院 2022 年 1-12 月收治的 100 例剖宫产产妇,以剖宫产术后首次下床活动时间的不同将其分为 50 例观察组和 50 例对照组。对照组产妇于产后 24 h后协助下床活动,观察组患者则在术后 6 h开始分阶段协助下床活动。比较 2 组产妇胃肠恢复时间、排气时间、拔尿管时间、泌乳始动时间等恢复时间指标,产妇产后 24 h的视觉模拟评分(visual analogue scale,VAS),子宫复旧情况、产妇乳汁分泌量以及产后 5 d母乳喂养率,产妇发生产后出血和深静脉血栓的并发症以及对术后恢复效果的满意度。结果 观察组产妇胃肠恢复时间、排气时间、拔尿管时间和泌乳始动时间均短于对照组产妇(P<0。05)。其产后 24 h VAS评分为(1。49±0。58)分,低于对照组的(2。45±0。83)分(P<0。05)。观察组产妇24 h宫底高度低于对照组,乳汁分泌量优于对照组(P<0。05)。观察组 5 d母乳喂养率达到 92。00%,高于对照组的 50。00%(P<0。05)。观察组并发症总发生率低于对照组(P<0。05)。观察组产妇对产后恢复的满意度高达 100%,高于对照组的78。00%(P<0。05)。结论 剖宫产术后 6 h产妇下床活动对其产后康复有积极意义,可缩短恢复时间,减轻疼痛感,促进子宫复旧和乳汁的分泌,降低并发症发生率,提高产妇满意度。
Influence of Getting Out of Bed Activities 6h After Cesarean Section in Postpartum Women on Postpartum Recovery
Objective To explore the influence of getting out of bed 6 h after cesarean section in postpartum women on postpartum recovery.Methods A total of 100 cesarean section women admitted to the First Affiliated Hospital of Xiamen University from January 2022 to December 2022 were randomly divided into an observation group of 50 cases and a control group of 50 cases using a random number table method.The control group received assistance in getting out of bed 24 h postpartum,while the observation group received phased assistance in getting out of bed 6 h after surgery.Recovery time indicators such as gastrointestinal recovery time,exhaust time,catheter removal time,and lactation initiation time were compared between the two groups,maternal visual analogue scale(VAS)at 24 hours postpartum,uterine involution,milk secretion,and breastfeeding rate at 5 d postpartum,as well as complications of postpartum hemorrhage and deep vein thrombosis,and satisfaction with postoperative recovery.Results The observation group had shorter gastrointestinal recovery time,exhaust time,catheter removal time,and lactation initiation time compared to the control group(P<0.05).The 24 h postpartum VAS score was(1.49±0.58)points,lower than the control group's(2.45±0.83)points(P<0.05).The 24 h fundal height of the observation group was lower than that of the control group,and the milk secretion was better than that of the control group(P<0.05).The 5 d breastfeeding rate of the observation group was 92.00%,which was higher than 50.00%of the control group(P<0.05).The total complication rate of observation group was lower than that of control group(P<0.05).The satisfaction of postpartum recovery in the observation group was up to 100%,higher than 78.00%in the control group(P<0.05).Conclusion Getting out of bed activities 6 hours after cesarean section is of positive significance for postpartum recovery,which can shorten recovery time,reduce pain,promote uterine involution and milk secretion,reduce the incidence of complications,and improve maternal satisfaction.

maternity undergoing cesarean section6 h after surgeryget out of bed and move aroundpostoperative rehabilitationcomplicationspain sensation

林常红、陈琳琳、王雅立

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厦门大学附属第一医院干部保健特诊部,福建 厦门 361003

福建中医药大学护理学院,福建福州 350122

剖宫产产妇 术后 6 h 下床活动 术后康复 并发症 疼痛感

2021年福建省自然科学基金联合资金新上项目

2021J01947

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(8)
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