Analysis of the effect of comprehensive perioperative nursing on the outcome of mothers and infants in cesarean section of scar uterus
瘢痕子宫剖宫产围术期全面护理对母婴结局的影响分析

摘要

目的 探讨将全面护理应用于瘢痕子剖宫产产妇围术期中的意义。方法 试验对象选择于2020.04-2022.03此阶段内，在我院行剖宫产的瘢痕子宫患者78例，根据数字奇偶法均分作2组，在围术期对照组以常规护理施护，观察组则以全面护理施护，统计施护后两组产后并发症及母婴结局指标差异。结果 经对比组间产后并发症，观察组比对照组低，P＜0.05；经对比组间母婴结局，观察组产妇产后24h出血量、住院时间、母乳喂养开始时间及新生儿评分优于对照组，P＜0.05。结论 在瘢痕子宫患者再次接受剖宫产术时，需重视其围术期护理工作，以全面护理模式实施干预，既能够降低产妇产后发生并发症风险，缩短其住院时间的同时，还能促进产妇尽早以母乳喂养新生儿，对降低不良母婴结局及改善产妇预后起着积极意义，适宜基层医院借鉴应用。

Abstract

Objective: To explore the significance of comprehensive nursing in the perioperative period of scar cesarean section.
Methods 78 patients with scar uterus who underwent cesarean section in our hospital from April 2020 to March 2022 were divided into two groups according to the digital parity method. During the perioperative period, the control group was given routine nursing care, while the observation group was given comprehensive nursing care. The differences of postpartum complications and maternal and infant outcomes between the two groups were statistically analyzed.
Results: the postpartum complications in the observation group were lower than those in the control group (P < 0.05); By comparing the maternal and infant outcomes between the two groups, the amount of postpartum hemorrhage, length of hospital stay, start time of breastfeeding and neonatal score in the observation group were better than those in the control group (P < 0.05).
Conclusion  : when patients with scarred uterus undergo cesarean section again, we should pay attention to their perioperative nursing work, and implement intervention in a comprehensive nursing mode, which can not only reduce the risk of postpartum complications and shorten their hospital stay, but also promote pregnant women to breastfeed newborns as soon as possible, which plays a positive role in reducing adverse maternal and infant outcomes and improving maternal prognosis, which is suitable for reference and application in grass-roots hospitals.