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目的探讨剖宫产术后宫底免盐袋加压对产妇出血量及舒适度的影响。方法将2012年7月-12月行剖宫产手术的正常初产妇122例随机分为2组,观察组(n=60)术毕不给予盐袋加压,对照组(n=62)常规在宫底部加压1 kg的盐袋,持续6 h,两组其他治疗、护理措施相同。记录两组产妇术后6 h内阴道出血量和呕吐次数,肛门排气时间及产妇主观舒适度。结果两组产妇术后6 h内阴道出血量[(167.23±31.65)、(178.75±37.42)mL;t=1.833,P=0.069)和呕吐次数(Z=-0.740,P=0.459)比较,差异无统计学意义;观察组主观舒适度明显高于对照组(Z=-4.353,P=0.000);观察组肛门排气时间[(14.45±4.55)d]比对照组[(21.95±6.06)d]明显缩短(t’=-7.747,P=0.000)。结论剖宫产术后如未发生产后大出血,宫底免盐袋加压治疗可增加产妇舒适度,促进肠功能的恢复。
Objective To investigate the effect of post-cesarean section uterine-relief-free bag on maternal blood loss and comfort. Methods 122 cases of normal primiparous women undergoing cesarean section from July 2012 to December 2012 were randomly divided into two groups. The observation group (n = 60) was given no salt bag pressure and the control group (n = 62) The bottom of the palace pressure 1 kg of salt bags, sustained 6 h, the other two groups of treatment, nursing the same. The number of vaginal bleeding and vomiting, anal exhaust time and maternal subjective comfort within 6 hours after operation were recorded. Results Vaginal bleeding within 6 h after operation was significantly higher in the two groups ([167.23 ± 31.65], (178.75 ± 37.42) mL; t = 1.833, P = 0.069) and vomiting (Z = -0.740, P = 0.459) (14.45 ± 4.55) d] in the observation group was significantly higher than that in the control group [(21.95 ± 6.06) d, P <0.05); the subjective comfort of the observation group was significantly higher than that of the control group ] Was significantly shorter (t ’= - 7.747, P = 0.000). Conclusion If there is no postpartum hemorrhage after cesarean section, endometrial salt-free bag compression therapy can increase the maternal comfort and promote the recovery of intestinal function.