李江英

【摘要】 目的 研究早期康复锻炼对剖宫产术后患者产后恢复的影响。方法 62例剖宫产术后患者， 采用双盲随机分组法分为对照组和观察组， 每组31例。对照组采用腹部按摩和产后康复仪进行产后康复， 观察组在对照组基础上加用早期康复锻炼进行产后康复。对两组患者的产后恢复情况、并发症发生情况、满意度进行比较分析。结果 观察组患者产后肛门排气恢复时间、进食时间、术后疼痛持续时间、术后恶露持续时间均短于对照组， 差异具有统计学意义（P<0.05）。观察组患者尿潴留、肺部感染的发生率分别为6.45%、9.68%， 均低于对照组的25.81%、32.26%， 差异具有统计学意义（P<0.05）。观察组患者的满意度96.77%明显高于对照组的74.19%， 差异具有统计学意义（P<0.05）。结论 早期康复锻炼对于剖宫产术后患者的产后恢复具有良好的促进作用， 且患者满意度较高。

【关键词】 剖宫产术；早期康复锻炼；产后恢复

DOI：10.14163/j.cnki.11-5547/r.2018.35.083

【Abstract】 Objective To study the effect of early rehabilitation exercise on postpartum recovery in patients with cesarean section. Methods A total of 62 patients with cesarean section were divided by double blind random grouping method into control group and observation group， with 31 cases in each group. The control group received abdominal massage and postpartum rehabilitation instrument for postpartum rehabilitation， and the observation group received early rehabilitation exercise on the basis of the control group. Comparison and analysis were made on postpartum recovery， occurrence of complications and satisfaction degree between the two groups. Results The observation group had shorter anal exhaust recovery time， eating time， postoperative pain duration， postoperative lochia duration than the control group， and their difference was statistically significant （P<0.05）. The observation group had lower incidence of urinary retention and pulmonary infection respectively as 6.45% and 9.68%， which were lower than 25.81% and 32.26% in the control group， and their difference was statistically significant （P<0.05）. The observation group had obviously higher satisfaction degree as 96.77% than 74.19% in the control group， and their difference was statistically significant （P<0.05）. Conclusion Early rehabilitation exercise has a good promoting effect on postpartum recovery of patients after cesarean section， and patients satisfaction is higher.

【Key words】 Cesarean section； Early rehabilitation exercise； Postpartum recovery

剖宮产能够解决难产的问题， 有助于患者顺利生产， 但是剖宫产术后容易出现较多的并发症， 加上创面大、术后疼痛等因素的影响， 患者机体机能恢复时间较慢， 甚至还会出现心理问题， 因此加强对剖宫产患者产后的康复十分重

要[1-3]。本文旨在分析早期康复锻炼的效果， 特择取本院收治的剖宫产术后患者62例开展本次研究， 详细描述如下。

1 资料与方法

1. 1 一般资料 选取2018年1～6月本院收治的剖宫产术后患者62例作为研究对象， 采用双盲随机分组法分为对照组和观察组， 每组31例。纳入标准：所有患者均进行硬膜外下腔麻醉下改良横切口子宫下段剖宫产术， 均符合剖宫产指征；均为单胎。排除标准：存在严重妊娠合并症或者并发症的患者；依从性较差的患者。对照组患者年龄26～42岁， 平均年龄（30.15±3.95）岁；孕周36～42周， 平均孕周（38.45±1.19）周；妊娠次数1～3次， 平均妊娠次数（2.01±0.34）次。观察组患者年龄27～41岁， 平均年龄（30.22±3.60）岁；……