预见性护理降低阴道分娩产后出血的效果探讨(1)
摘要：目的 研究预见性护理降低阴道分娩产后出血的临床护理效果。方法 选取医院2014年3月～2015年3月在我院实行阴道分娩的产妇80例作为研究对象，将其按照随机数字法分为实验组与常规组。常规组产妇给予常规护理；实验组产妇在常规组护理基础上加以预见性护理。记录并对比两组产妇在产后的出血发生率以及产后2 h、24 h的出血量。结果 实验组产妇产后出血发生率为2.5%，显著低于常规组产妇的产后出血发生率(22.5%)；实验组产妇2 h出血量和24 h出血量均显著低于常规组产妇相应时间的出血量。以上三项数据差异均显著，具备统计学意义(P<0.05)。结论 预见性护理能够显著降低阴道分娩产后出血的发生率以及出血量，提高产妇的分娩安全性，值得临床推广。
关键词：预见性护理；阴道分娩产后出血；临床效果
Effect of Predictive Nursing on Postpartum Hemorrhage after Vaginal Delivery
, http://www.100md.com
TAN Yan-hong，LI Pu，ZHANG Xin-yan
(Obstetrics Department，The First Hospital of Zibo，Zibo 255200，Shandong，China)
Abstract：Objective To study the predictive effect of postpartum hemorrhage in clinical nursing care to reduce vaginal delivery. Methods Select hospital in March 2014 to March 2015 in our hospital 80 cases with maternal vaginal delivery as the research object， its according to the method of random Numbers can be divided into the experimental group and routine group. Conventional group maternal given routine care； Experimental maternal group in conventional nursing based on predictive nursing. Records and compared two groups in the incidence of postpartum hemorrhage and maternal postpartum 2 hours， 24 hours of the bleeding. Results The incidence of maternal postpartum hemorrhage was 2.5%， significantly lower than that of conventional group of maternal postpartum hemorrhage rate (22.5%)； Experimental group 2 hours of maternal blood loss and the bleeding were significantly lower than normal group 24 hours response time of maternal blood loss. Significant difference were observed in the above three data with statistical significance (P< 0.05). Conclusion Predictive nursing can significantly reduce the incidence of vaginal delivery postpartum hemorrhage and blood loss， improve the safety of maternal childbirth， worth clinical promotion.
, 百拇医药
Key words：Predictive nursing； Vaginal delivery postpartum hemorrhage； Clinical effect
陰道分娩产后出血是产科中较为常见的一种并发症，引发产后出血的因素有许多，例如产妇的体质因素、胎盘因素、合并基础疾病、产妇软产道损伤、凝血功能障碍以及子宫收缩乏力等症状[1]。产后出血如果不在第一时间给予有效的治疗和护理干预，很容易导致产妇在产后出现大出血、休克，甚至死亡[2]。对此，在产科医护工作当中，应当正确对待产后出血，给予产后出血充足的重视。近些年，关于降低阴道分娩产后出血的治疗、护理方式层出不穷，其中关于预见性护理的研究报道也非常多。对此，为了更好的明确预见性护理控制阴道分娩产后出血的临床效果，对我院产妇实行预见性护理，探究最终的产后出血发生率和出血量，现报道如下。
1资料与方法
1.1一般资料 选取医院2014年3月～2015年3月在我院实行阴道分娩的产妇80例作为研究对象，将其按照随机数字法分为实验组与常规组，每组40例。所有产妇均排除凝血功能障碍、胎盘残留以及软产道损伤等并发症，均为首次生产。常规组中，产妇年龄21～34岁，平均年龄(26.5±3.1)岁，平均孕周(38.1±2.1)w。实验组中，产妇年龄22～37岁，平均年龄(26.7±3.3)岁，平均孕周(38.0±1.3)w。两组产妇年龄、孕周、孕次等一般资料差异不显著(P>0.05)，具有可比性。
1.2方法 常规组产妇给予常规护理，主要是对产妇生产前进行常规检查、生产中助产、生产后给予相应指导；实验组产妇在常规组护理基础上加以预见性护理。主要分为产前预见性护理与产后预见性护理。, http://www.100md.com(谭延红 李蒲 张心燕)
关键词：预见性护理；阴道分娩产后出血；临床效果
Effect of Predictive Nursing on Postpartum Hemorrhage after Vaginal Delivery
, http://www.100md.com
TAN Yan-hong，LI Pu，ZHANG Xin-yan
(Obstetrics Department，The First Hospital of Zibo，Zibo 255200，Shandong，China)
Abstract：Objective To study the predictive effect of postpartum hemorrhage in clinical nursing care to reduce vaginal delivery. Methods Select hospital in March 2014 to March 2015 in our hospital 80 cases with maternal vaginal delivery as the research object， its according to the method of random Numbers can be divided into the experimental group and routine group. Conventional group maternal given routine care； Experimental maternal group in conventional nursing based on predictive nursing. Records and compared two groups in the incidence of postpartum hemorrhage and maternal postpartum 2 hours， 24 hours of the bleeding. Results The incidence of maternal postpartum hemorrhage was 2.5%， significantly lower than that of conventional group of maternal postpartum hemorrhage rate (22.5%)； Experimental group 2 hours of maternal blood loss and the bleeding were significantly lower than normal group 24 hours response time of maternal blood loss. Significant difference were observed in the above three data with statistical significance (P< 0.05). Conclusion Predictive nursing can significantly reduce the incidence of vaginal delivery postpartum hemorrhage and blood loss， improve the safety of maternal childbirth， worth clinical promotion.
, 百拇医药
Key words：Predictive nursing； Vaginal delivery postpartum hemorrhage； Clinical effect
陰道分娩产后出血是产科中较为常见的一种并发症，引发产后出血的因素有许多，例如产妇的体质因素、胎盘因素、合并基础疾病、产妇软产道损伤、凝血功能障碍以及子宫收缩乏力等症状[1]。产后出血如果不在第一时间给予有效的治疗和护理干预，很容易导致产妇在产后出现大出血、休克，甚至死亡[2]。对此，在产科医护工作当中，应当正确对待产后出血，给予产后出血充足的重视。近些年，关于降低阴道分娩产后出血的治疗、护理方式层出不穷，其中关于预见性护理的研究报道也非常多。对此，为了更好的明确预见性护理控制阴道分娩产后出血的临床效果，对我院产妇实行预见性护理，探究最终的产后出血发生率和出血量，现报道如下。
1资料与方法
1.1一般资料 选取医院2014年3月～2015年3月在我院实行阴道分娩的产妇80例作为研究对象，将其按照随机数字法分为实验组与常规组，每组40例。所有产妇均排除凝血功能障碍、胎盘残留以及软产道损伤等并发症，均为首次生产。常规组中，产妇年龄21～34岁，平均年龄(26.5±3.1)岁，平均孕周(38.1±2.1)w。实验组中，产妇年龄22～37岁，平均年龄(26.7±3.3)岁，平均孕周(38.0±1.3)w。两组产妇年龄、孕周、孕次等一般资料差异不显著(P>0.05)，具有可比性。
1.2方法 常规组产妇给予常规护理，主要是对产妇生产前进行常规检查、生产中助产、生产后给予相应指导；实验组产妇在常规组护理基础上加以预见性护理。主要分为产前预见性护理与产后预见性护理。, http://www.100md.com(谭延红 李蒲 张心燕)
参见：首页 > 医疗版 > 疾病专题 > 妇产科 > 分娩期并发症 > 产后出血