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目的探讨剖宫产产后出血的原因与运用临床护理路径的效果。方法选择2013年9月~2014年9月期间我院妇产科收治的180例剖宫产产妇为研究对象,根据电脑随机法分为两组,其中给予对照组常规护理,而观察组则运用临床护理路径,对比分析两组护理效果。结果与对照组相比,观察组的产后2h和24h出血量均较少,组间比较差异明显(P<0.05);同时,相比较对照组而言,观察组的产后出血发生率较低,组间对比有明显差异(P<0.05)。结论剖宫产产后出血的原因有很多,包括切口裂伤、胎盘因素以及宫缩乏力等,运用临床护理路径,可以降低产后出血发生率,改善产妇预后。
Objective To investigate the causes of cesarean section postpartum hemorrhage and the effect of using clinical nursing pathways. Methods 180 cases of cesarean section in our hospital from September 2013 to September 2014 were selected as study subjects and divided into two groups according to computer randomization. The control group received routine nursing, while the observation group used Clinical nursing path, comparative analysis of two groups of nursing effects. Results Compared with the control group, the amount of hemorrhage in the observation group was lower at 2h and 24h postpartum, with significant difference between the two groups (P <0.05). At the same time, the incidence of postpartum hemorrhage in the observation group was lower than that of the control group, There was significant difference between groups (P <0.05). Conclusion There are many reasons for cesarean section postpartum hemorrhage, including incision laceration, placental factors and uterine atony. The use of clinical nursing pathways can reduce the incidence of postpartum hemorrhage and improve the prognosis of maternal.