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目的探讨剖宫产产后出血的原因及预见性护理的应用效果。方法选取江西省妇幼保健院2014年4月—2016年3月收治的剖宫产产妇191例,随机分为观察组96例与对照组95例。整理产妇的一般资料,分析产后出血的原因,对照组产妇给予常规护理,观察组产妇给予预见性护理,比较两组产妇产后出血量及产后出血发生率。结果观察组产妇产后2、24h的出血量少于对照组,差异有统计学意义(P<0.05)。观察组产后出血发生率低于对照组,差异有统计学意义(P<0.05)。经分析发现,宫缩乏力是造成产妇产后出血的最重要原因,其次为胎盘因素、切口裂伤、血管破裂。结论诱发剖宫产产后出血的因素较多,其中宫缩乏力、胎盘因素、凝血障碍、软产道损伤所占比重较大,为保证产妇安全,可依据产妇具有的高危因素制定预见性护理干预,可有效降低出血发生率。
Objective To investigate the causes of cesarean section postpartum hemorrhage and the effect of predictive nursing. Methods 191 maternal cesarean section cases were selected from April 2014 to March 2016 in Jiangxi Maternal and Child Health Hospital and randomly divided into observation group (96 cases) and control group (95 cases). The general information of maternal and childbirth was analyzed. The causes of postpartum hemorrhage were analyzed. The maternal women in the control group were given routine nursing care. The maternal women in the observation group were given prospective nursing care. The postpartum hemorrhage rate and postpartum hemorrhage rate were compared between the two groups. Results The bleeding volume of postpartum women in observation group was less than that of control group at 2 and 24 hours postpartum, the difference was statistically significant (P <0.05). The incidence of postpartum hemorrhage in observation group was lower than that in control group, the difference was statistically significant (P <0.05). The analysis found that uterine inertia is the most important cause of postpartum hemorrhage, followed by placental factors, incisional laceration, ruptured blood vessels. Conclusions There are many factors that induce postpartum hemorrhage in cesarean section. Among them, uterine inertia, placental factors, coagulopathy and soft birth canal injury account for a large proportion. To ensure the safety of the mother, predictive nursing intervention can be made according to the risk factors of the mother, Can effectively reduce the incidence of bleeding.