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目的:探讨母婴同室对剖宫产母婴的影响。方法:回顾分析母婴同室组(简称观察组)106例,非母婴同室组(简称对照组)121例,有关泌乳时间和泌乳率、乳量、手术切口疼痛缓解时间以及剖宫产儿发病率、生理性体重下降等指标。结果:观察组术后24h、72h泌乳率分别为41.51%,100%,对照组则分别为2.48%、76.86%,两组比较,统计学处理差异有显著性(P<0.01);观察组72h内乳量充足者(93.40%)较对照组(42.98%)高,(P<0.01);观察组72h内手术切口疼痛缓解者占72.64%,对照组为47.93%,(P<0.01);观察组剖宫产儿感染性疾病发生率(3.77%)较对照组(11.57%)低,(P<0.05);观察组剖宫产儿日龄生理性体重下降幅度小于对照组,观察组出生后72h体重回升,对照组则出生后120h体重方回升。结论:母婴同室能够促使早泌乳、多泌乳,有助于减轻手术切口疼痛、降低剖宫产儿发病率,生理性体重下降幅度小,回升较快。
Objective: To investigate the impact of maternal and infant room on mother-infant cesarean section. Methods: Retrospective analysis of 106 cases of the same room maternal and infant group (referred to as the observation group), 121 cases of non-maternal and infant room group (referred to as the control group), the lactation time and lactation rate, milk volume, surgical incision pain relief and cesarean section onset Rate, physiological weight loss and other indicators. Results: The lactation rates of the observation group were 41.51% and 100% at 24 h and 72 h postoperatively, respectively, while in the control group they were 2.48% and 76.86% respectively. There was significant difference between the two groups in statistical analysis (P < 0.01). The amount of milk in the observation group (93.40%) was significantly higher than that in the control group (42.98%) within 72 hours (P <0.01). (P <0.01). The incidence of infectious diseases in cesarean section in observation group (3.77%) was lower than that in control group (11.57%) (P < 0.05). The decrease of physiological weight of cesarean section in observation group was smaller than that in control group. The body weight of observation group rose at 72h after birth and the body weight of control group rose at 120h after birth. Conclusion: Maternal and infant room can promote early lactation and more lactation, which can help reduce the pain in surgical incision and reduce the incidence of cesarean section. The decrease of physiological weight is small and the recovery is rapid.