潘剑芝

[摘要]目的 探討产后康复护理对剖宫产产妇泌乳和子宫复旧的影响。方法 选取2018年10月～2019年8月在我院行剖宫产分娩的60例产妇作为研究对象，根据随机数字表法将其分为对照组和观察组，每组各30例。对照组产妇给予产后常规护理，观察组产妇在对照组的基础上联合产后康复护理干预。比较两组产妇产后泌乳情况、子宫复旧情况和并发症发生情况。结果 观察组产妇的见乳时间短于对照组，差异有统计学意义（P<0.05）;观察组产妇的泌乳量优于对照组，差异有统计学意义（P<0.05）。观察组产妇的子宫底高度≤4横指和子宫内膜厚度≤10 mm占比均高于对照组，产后出血和浆液性恶露发生率均低于对照组，差异有统计学意义（P<0.05）。观察组产妇产后并发症总发生率低于对照组，差异有统计学意义（P<0.05）。结论 产后康复护理可提高剖宫产产妇泌乳量，促进产妇子宫复旧，降低并发症发生率。

[关键词]产后康复护理;剖宫产;泌乳;子宫复旧

[中图分类号] R473          [文献标识码] A          [文章编号] 1674-4721（2020）5（c）-0250-03

Effect of postpartum rehabilitation nursing on lactation and uterine involution of parturients undergoing cesarean section caesarean women

PAN Jian-zhi

Department of Obstetrics and Gynecology， Maternal and Child Health Hospital of Guangfeng District in Shangrao City， Jiangxi Province， Shangrao   334600， China

[Abstract] Objective To discuss the effect of postpartum rehabilitation nursing on lactation and uterine involution of parturients undergoing cesarean section. Methods A total of 60 parturients who underwent cesarean section delivery in our hospital from October 2018 to August 2019 were selected as the research objects， and they were divided into control group and observation group according to the random number table method， with 30 cases in each group. The parturients in the control group were given routine postpartum nursing， and those in the observation group were given postpartum rehabilitation nursing intervention on the basis of the control group. The postpartum lactation， uterine involution and incidence of complications were compared between the two groups. Results The lactation time of the observation group was shorter than that of the control group， and the difference was statistically significant （P<0.05）. The lactation condition of the observation group was better than that of the control group， and the difference was statistically significant （P<0.05）. The proportions of the observation group with the height of uterine fundus≤4 transverse fingers and the thickness of endometrium≤10 mm were higher than those of the control group， and the incidence rates of postpartum hemorrhage and serous lochia were lower than those of the control group， with statistically significant differences （P<0.05）. The total incidence rate of postpartum complications in the observation group was lower than that in the control group， and the difference was statistically significant （P<0.05）. Conclusion Postpartum rehabilitation nursing can improve the lactation of caesarean section parturients， promote the uterine involution， and reduce the incidence of complications.

[Key words] Postpartum rehabilitation nursing; Cesarean section; Lactation; Uterine involution

研究显示，剖宫产产妇术中出血、子宫破裂等情况发生率高于自然分娩产妇，且术后可能诱发泌尿、心血管疾病等并发症，对产妇身心健康将造成严重创伤[1]。母乳喂养可增强新生儿免疫力、提升智力、降低猝死发生率，但剖宫产创伤会抑制产妇乳汁分泌，对新生儿影响较大[2-3]。除此之外，剖宫产对子宫损伤较大，产后子宫功能恢复不全可能会导致产后大出血等并发症[4]。因此，通过护理措施刺激产妇泌乳和恢复子宫收缩，有利于产妇产后恢复和新生儿生长发育[4]。基于此，本研究探讨产后康复护理对剖宫产产妇泌乳和子宫复旧的影响，现报道如下。

1资料与方法

1.1一般资料

选取2018年10月～2019年8月在我院行剖宫产分娩的60例产妇作为研究对象。纳入标准：剖宫产产妇产后健康。排除标准：①患精神性疾病;②患系统性疾病;③产妇心脏、肝脏等重要器官功能障碍;④凝血功能缺陷。……