摘要
目的探讨经阴道分娩后产后出血患者进行急救的方法和护理措施。方法从2016年1月～2016年12月于我院住院并生产的病例中选取200例阴道分娩后产后出血患者作为本次研究对象,采用动态随机化法将其分成对照组和实验组,每组各100例。对照组患者采取常规护理模式,在这基础上,实验组患者采取急救和护理措施。观察并比较两组患者的血浆凝血指标、血小板(PLT)、D二聚体(D-D)及血红蛋白(Hb)指标情况、护理满意度以及出血量和止血时间。结果两组患者经过护理后,实验组的TT、PT、aPTT,Fbg的水平低于对照组; PLT、D-D及Hb指标情况均高于对照组;护理满意度高于对照组;出血量少于对照组以及止血时间短于对照组,以上数据具有统计学意义(P <0. 05)。结论对阴道分娩后产后出血患者进行急救和有效的护理能改善患者凝血指标、增强止血效果。
Objective To treat the patients with postpartum hemorrhage after vaginal delivery and the first aid and nursing measures. Methods From January 2016 to December 2016 in our hospital hospitalized and the production of cases of 200 cases of vaginal delivery postpartum hemorrhage patients as the object of study, using dynamic randomization method will be divided into control group and experimental group, Each group of 100 cases. The patients in the control group were treated with routine nursing mode. On this basis, the patients in the experimental group were treated with first aid and nursing. The levels of plasma coagulation, platelet（PLT）, D-dimer（D-D） and hemoglobin （Hb）, nursing satisfaction and bleeding and hemostasis were observed and compared between the two groups. Results After nursing care, the level of aPFF PT TT, Fbg in the experimental group was lower than that in the control group, the level of D- D and HB in the control group was higher than that in the control group, the degree of nursing satisfaction was higher than that in the control group,the amount of bleeding was less than that in the control group and the hemostasis time was shorter than that in the control group （ P 〈 0. 05 ）. Conclusion The first aid and effective nursing care for postpartum hemorrhage patients after vaginal delivery can improve the blood coagulation index and enhance the hemostatic effect.
作者
廉清颖
陈浩暘
LIAN Qing-ying;CHEN Hao-yang(The second delivery rooms shengjing hospital affiliated to China medical university In shenyang,liaoning province in 110022,China)
出处
《血栓与止血学》
2018年第4期650-652,共3页
Chinese Journal of Thrombosis and Hemostasis
关键词
阴道分娩
产后出血
护理
Vaginal delivery
Postpartum hemorrhage
Nursing
