Clinical nursing of abdominal distension after cesarean section
剖宫产术后腹胀临床护理应对

摘要

目的 研究分析子宫下段剖宫产术后腹胀原因与护理应对措施。方法 选取北京圣宝妇产医院77例腰硬联合麻醉下行子宫下段剖宫产手术产妇作为研究对象，其中2017年7-12月35例产妇为对照组，2018年1-6月42例产妇为观察组。结果：观察组胃肠减压发生率低于对照组，差异具有统计学意义（P＜0.05）。观察组恶心呕吐2例，并发症发生率为7.14%；对照组恶心呕吐5例，并发症发生率为14.28%；观察组并发症发生率低于对照组，差异具有统计学意义（P＜0.05）。结论 加强临床护理措施可明显降低剖宫产术后腹胀发生率，减少其他并发症的产生，缩短肛门排气时间，增加产妇的舒适度，值得临床借鉴。

Abstract

Objective: To study and analyze the causes of abdominal distension after lower segment cesarean section and nursing countermeasures.
Methods 77 parturients in Beijing Shengbao Obstetrics and Gynaecology Hospital who underwent lower segment cesarean section under combined spinal and epidural anesthesia were selected as the study object, 35 parturients from July to December 2017 as the control group, and 42 parturients from January to June 2018 as the observation group.
Results: The incidence of gastrointestinal decompression in the observation group was lower than that in the control group, with a statistically significant difference (P<0.05). In the observation group, there were 2 cases of nausea and vomiting, with a complication rate of 7.14%; In the control group, there were 5 cases of nausea and vomiting, with a complication rate of 14.28%; The incidence of complications in the observation group was lower than that in the control group, with a statistically significant difference (P<0.05).
Conclusion   Strengthening clinical nursing measures can significantly reduce the incidence of abdominal distension after cesarean section, reduce the occurrence of other complications, shorten the time of anal exhaust, and increase the comfort of parturients, which is worthy of clinical reference.