陶晓华

护理干预对剖宫产术后促排气效果的影响

陶晓华

目的 对护理干预对剖宫产术后促排气效果的影响作用进行观察分析。方法 选取2014年6月～2015年6月于我院收治的124例行剖宫产手术的产妇作为研究对象，按照产妇入院顺序将其分为观察组（62例）与对照组（62例），分别采取不同的护理干预方法对两组产妇进行护理，两组患者行剖宫产后均采取产科常规基础护理措施，包括健康宣教、加强基础护理并全程观察、记录产妇情况以及注重饮食调理。观察组产妇在此基础上采取温水足浴，选取大小适中的塑料盆放入温水，水温保持在39～42℃，约3 500 ml，加入25 ml左右的云香精。对两组产妇的术后促排气效果进行对比。结果 观察组产妇术后排气时间（16.28±3.67）h、排尿时间（30.21±4.12）h、（41.78±7.23）h排便时间均优于对照组（22.27±4.12）h、（31.67±4.38）h、（73.46±9.34）h，差异具有统计学意义（P＜0.05）。结论 采取产科常规护理措施联合温水足浴能有效促进行剖宫产手术产妇术后排气，提高预后质量与生活质量。

护理干预；剖宫产；术后；排气

【Abstract】

Objective Observation and analysis the effect of nursing intervention on promoting exhaust after cesarean section. Methods From June 2014 to June 2014 in our hospital， 124 women underwent cesarean section surgery as the research object， according to the order of maternal hospital will be divided into the observation group （62 cases） and control group （62 cases）， respectively adopt different methods of nursing intervention on two groups of maternal care， two groups of patients after cesarean section of the obstetrics nursing measures on a regular basis was adopted，including health education，strengthen basic nursing and observation， all the records of maternal situation and pay attention to diet. Observation group on the basis of maternal took warm water foot bath， selection of the right size plastic POTS into the warm water， keeped the water temperature at 39℃～42℃， about 3 500 ml，added 25 ml of around cloud essence. Of the two groups of maternal postoperative promote exhaust effect were compared. Results In observation group promoting exhaust time after cesarean section （16.28±3.67）h ，micturition time （30.21±4.12）h，defecation time （41.78±7.23）h were better than control group （22.27±4.12）h， （31.67±4.38）h，（73.46±9.34）h， statistically significant difference （P＜ 0.05）. Conclusion Obstetrical routine nursing measures combined with warm water foot bath can effectively promote exhaust after cesarean section， improve the quality of the prognosis and quality of life.

【Key words】Nursing intervention，Cesarean section，Postoperative，Exhaust

剖宫产手术在实施过程中容易导致产妇排气不畅、腹胀等问题，对产妇的术后生活质量、饮食等造成很大影响［1］。本文对护理干预在促进剖宫产产妇术后排气的作用进行观察分析，选取124例产妇作为研究对象，现报告如下。

1　资料与方法

1.1一般资料

选取2014年6月～2015年6月于我院收治的124例行剖宫产手术的产妇作为研究对象，产妇年龄22～39岁，平均年龄（26.78±3.42）岁，孕周35～40周。两组患者均符合入选标准且孕周、年龄等资料具有可比性，无统计学差异（P＞0.05）。……