目的 观察袋鼠式护理在初产妇剖宫产后对术后泌乳及子宫复旧的影响.方法 将200例剖宫产初产妇按照随机数字表分为常规护理组和袋鼠式护理组各100例,收集两组产妇首次泌乳时间,术后24 h和72 h子宫复旧情况,进行对比分析.结果 产妇首次泌乳时间袋鼠式护理组为(37.5±6.3)h,常规护理组(49.3±5.1)h,两组比较差异有统计学意义(P<0.05);袋鼠式护理组产妇剖宫产术后24 h、72 h子宫下降的高度分别为(2.41±0.39)cm、(5.01±0.87)cm,常规护理组产妇剖宫产术后24 h、72 h子宫下降高度分别为(1.36±0.44)cm、(4.01±0.11)cm,两组比较差异有统计学意义(P<0.05).结论 剖宫产产妇实施袋鼠式护理可提早首次泌乳时间,加快子宫复旧,利于产后恢复.

延续性护理是从医院延伸至患者家庭的护理,包括出院计划、持续性随访及康复指导等医疗服务[1].以信息化为平台的盆底康复流程更规范、简捷、实用、易于推广,对防治盆底功能障碍性疾病具有重大的社会意义[2].本次研究在于通过对89例经阴道产妇实施基于信息化管理平台的延续性护理,取得较为满意的临床效果,现报告如下.

目的 探讨系统护理干预对初产妇剖宫产焦虑心理的影响.方法 将73例择期行剖宫产初产妇随机分为对照组(34例)和干预组(39例),对干预组入院后在剖宫产前、后实施了系统的护理干预措施,并与仅采用常规护理的对照组进行焦虑自评量表(SAS)评分、心率及血压比较,分别比较入院时、剖宫产前1h及剖宫产后第3天的差异.结果 入院时两组SAS评分差异无统计学意义(P＞0.05);干预后,两组SAS评分差异均有统计学意义(均P＜ 0.05).入院时两组收缩压和舒张压差异均无统计学意义(均P＞0.05);干预后,两组收缩压、舒张压差异均有统计学意义(均P＜ 0.05).结论 系统的护理干预能有效改善初产妇剖宫产的心理健康状况,降低患者血压及心率波动,可有效控制剖宫产前、后产妇的应激反应,提高对手术耐受力,有利于产妇术后恢复.

目的:探讨宫缩乏力性产后出血的相关因素和护理干预。方法:对125例自然分娩的宫缩乏力性产后出血原因进行回顾性调查,总结治疗过程中的护理干预。结果:宫缩乏力性产后出血的发生与流产次数、分娩次数、新生儿体质量、妊娠并发症及合并症有密切关系,做好产前、产时、产后护理有助于预防产后出血的发生。结论:产前早期干预,产时及时发现,产后有效预防,能降低宫缩乏力性产后出血的发生率。

目的探讨新斯的明针联合低频脉冲电疗在治疗产后尿潴留中的作用。方法选取本科室产后尿潴留患者110例,按顺序随机分为观察组和对照组,每组各55例。观察组在肌注新斯的明针剂0.5mg的基础上予以低频脉冲电疗40min,对照组仅予肌注新斯的明针剂0.5mg。结果观察组患者治疗后首次排尿时间及残余尿量均少于对照组(P<0.01),导尿率及泌尿系感染率均小于对照组。结论新斯的明针联合低频脉冲电疗在治疗产后尿潴留上具有更加好的效果。

Objective To study nursing intervention to alleviate the pain of patients with cesarean section effect.Methods 114 cases of cesarean section patients from November 2011 to November 2012 were selected and randomly divided into experimental group and control group,with 57 cases in each group.The experimental group was treated with nursing interventions to reduce pain after cesarean section,control group was treated with regular nursing care.Effect of treatment of pain in two groups of patients were compared.Results 21 cases with pain 0 grade(36.8%),23 cases with pain 1 grade(40.4%),10 cases with pain 2 grade(17.5%),3 cases with pain 3 grade(5.3%) were found in exper imental group;5 cases with pain 0 grade(8.8%),19 cases with pain 1 grade(33.3%),25 cases with pain 2 grade(43.9%),8 cases with pain 3 grade(14.0%) were found in control group;the percent of patients with pain 0 grade in experimental group was higher than that in control group,the difference was statistically significant(χ2=7.3101,P 0.01).Conclusion Nursing intervention for reducing cesarean section patients postoperative pain has a very clear clinical effect,con tribute to the speedy recovery of the pregnant women,it is worthy of clinical promotion.

OBJECTIVE To probe into The influence of health quotient training on the treatment compliance of out-patients with gestational diabetes mellitus(GDM).METHODS 124 out-patients diagnosed as GDM were selected,and they were divided into two groups,respectively the observation group and the control group,with 62 cases in each one.The control group were given general health education,while the observation were given health quotient training on that basis.RESULTS The health quotient score,treatment compliance and blood glucose control condition of the observation group after the training were obviously better than before the training,also obviously better than those of the control group(P0.01).CONCLUSION Systemic,planned,targeted health quotient training can obviously prove the health quotient score and treatment compliance of out-patients with GDM,and make them control blood glucose much better than before,which proves to have some certain value.

<正>文献[1]表明,80%的早产儿会发生新生儿黄疸,早期加强对早产儿的观察和黄疸指数监测,适时给予干预措施,对降低病理性黄疸的发生、发展尤为重要。笔者对240例母婴同室早产儿进行早期综合干预,预防病理性黄疸发生疗效满意,现报道如下。1资料与方法1.1一般资料2010年2月—2012年1月我科母婴

<正>目前生育潮的主体由"80后"初孕妇构成,其中很大一部分初孕妇错误地认为,剖宫产可免受痛苦,既不改变体形,又能保证婴儿的安全,剖宫产生的孩子很聪明等,因此盲目地追求剖宫产,这主要是对正常分娩缺乏正确的认知[1]。我院在2008年4月—2009年12月对651名"80后"初孕妇

目的观察艾者思治疗前置胎盘孕妇便秘的疗效。方法观察50例前置胎盘孕妇在期待疗法期间诊断便秘者,每日治疗剂量为晚餐后用艾者思5克口服或乳果糖每次10mL,每日3次口服,记录每例受试者每天便次,观察受试者治疗后出现的不良反应。结果治疗1周后,艾者思组便质转润,排便次数增多,有效率明显高于乳果糖组(96.1%比70.8%),两组副作用发生率比较无统计学意义。结论艾者思治疗前置胎盘孕妇便秘效果优于乳果糖。

本文60例60眼中心性渗出性视网膜炎病例均为我院2002年1月至2005年2月住院和门诊患者,年龄24岁至46岁,平均36岁,男45例,女15例,均为单眼,发病时间10天～2年.随机分两组,灯盏花素组(观察组)30例,复方丹参组(对照组)30例,观察组30例中,男23例,女7例,年龄最大46岁最小24岁,病程15天～2年,视力0.05～0.6,对照组30例中男22例,女8例,年龄最大45岁最小24岁,病程10天～2年,视力0.05～0.6.两组性别、年龄、病程和视力等均具有可比性(P＞0.05).

虱病以前是一种常见寄生虫病,现在较少见,寄生到眼部更少见,作者在2002和2003年共遇见2例,现报告如下.