徐姝一

[摘要] 目的 研究并探讨瘢痕子宫妊娠剖宫产产妇围术期的护理措施，为减少妊娠不利结局提供参考依据。 方法 整群选取2013年1月—2014年12月在该院妇产科瘢痕子宫妊娠进行剖宫产的210例产妇作为研究对象，按照随机分配的方式，将这210例产妇分为对照组105例和观察组105例。对照组产妇采取常规护理措施进行护理，观察组产妇采取整体护理措施进行护理。对观察组和对照组中产妇的治疗情况和并发症发生情况以及新生儿的Apgar评分进行观察对比。 结果 与对照组相比，观察组产妇的术中出血量明显更少（P<0.05），其住院时间明显更短（P<0.05）。对照组产妇的并发症发生率为16.19%，观察组产妇的并发症发生率为5.71%，观察组产妇的并发症发生率较对照组明显更低（P<0.05）。同时，观察组的新生儿的Apgar评分较对照组明显更优（P<0.05）。 结论 对瘢痕子宫妊娠剖宫产产妇采取整体护理措施进行护理，能够有效减少产妇并发症的发生，促进产妇产后的恢复，提高新生儿的Apgar评分，有利于减少妊娠不利结局的发生，提高优生优育率。

[关键词] 瘢痕子宫妊娠；剖宫产；围术期；护理

[中图分类号] R473.71 [文献标识码] A [文章编号] 1674-0742（2015）09（a）-0160-03

Observation of the Effect of Perioperative Holistic Nursing on Puerperants with Scar Uterine Pregnancy Underwent Cesarean Section

XU Shu-yi

Obstetrics and Gynecology Department， Shandong Rizhao Lanshan District Maternal and Child Health Hospital， Rizhao， Shandong Province， 276800 China

[Abstract] Objective To study the perioperative nursing intervention for puerperants with scar uterine pregnancy underwent cesarean section so as to provide reference for reducing the adverse pregnancy outcome. Methods 210 puerperants with scar uterine pregnancy underwent cesarean section in Obstetrics and Gynecology Department of our hospital from January 2013 to December 2014 were selected as the subjects and randomly divided into the control group and the observation group with 105 puerperants in each. Puerperants in the control group were treated by the conventional nursing， and those in the observation group were treated by the holistic nursing intervention. The status of treatment and incidence of complications and neonatal Apgar scores of the two groups were observed and compared. Results Compared with the control group， puerperants in the observation group had much less intraoperative blood loss（P<0.05） and shorter length of stay （P<0.05）. The incidence of complications was much lower in the puerperants in the observation group than that in those in the control group（5.71% vs 16.19%） （P<0.05）. The neonatal Apgar scores were much better in the observation group than those in the control group（P<0.05）. Conclusion For puerperants with scar uterine pregnancy underwent cesarean section， holistic nursing intervention can reduce the incidence of complications and promote the postpartum recovery and improve the neonatal Apgar scores， which is conducive to reducing the incidence of adverse pregnancy outcome and improving the rate of eugenics.

[Key words] Scar uterine pregnancy； Cesarean section； Perioperative period； Nursing

近年来，剖宫产手术的比例呈上升趋势，越来越多的产妇在胎儿无异常的情况下自愿选择剖宫产[1]。随着剖宫产手术的比例增加，瘢痕子宫的产妇也出现增多，而瘢痕子宫妊娠的产妇进行剖宫产容易发生并发症，对产妇和新生儿的身体健康造成了严重的影响[2]。因此，给予瘢痕子宫妊娠的剖宫产产妇围术期合理的护理措施，具有十分重要的意义。该研究整群选取2013年1月—2014年12月在该院妇产科瘢痕子宫的产妇进行剖宫产的210例产妇作为研究对象，对其围术期采取护理措施进行护理，以探讨瘢痕子宫妊娠的产妇实施剖宫产手术的护理效果，为减少妊娠不利结局提供参考依据，现报道如下。

1 资料与方法

1.1 一般资料

整群选取2013年1月—2014年12月在该院妇产科的210例瘢痕子宫妊娠实施剖宫产的产妇作为研究对象。……