摘要
目的 探讨预见性护理在子宫球囊填塞术围术期中的效果。方法 回顾性分析2018年1月-2019年12月在我院行子宫球囊填塞术的68例产妇，随机分为对照组和观察组各34例，对照组给予常规护理，观察组实施预见性护理。比较两组两组在出血原因，注入球囊的生理盐水量、球囊压迫时间及放置后至取出球囊时引流管引流量的情况，比较两组在产后出血量、止血时间、输血例数、转入ICU例数及子宫切除例数的情况。结果 两组在出血原因，注入球囊的生理盐水量、球囊压迫时间及放置后至取出球囊时引流管引流量上无明显差异（P＞0.05）。68例产妇无死亡病例，均治愈出院。两组患者在产后出血量、输血例数、转入ICU例数及子宫切除的比较上，观察组均优于对照组（t=20.608，χ2=3.571，5.356，7.552，5.314，P<0.05）。两组在止血时间上无明显差异（t=3.571，P<0.05）。结论 通过对子宫球囊填塞术后产妇实施预见性护理，改善母儿的临床结局，提升产科医疗质量安全。
关键词： 预见性护理；子宫球囊填塞术；围术期；临床结局
Abstract
Objective To investigate the effect of predictive nursing in the perioperative period of uterine balloon tamponade. Methods A retrospective analysis of 68 puerperae who underwent uterine balloon tamponade in our hospital from January 2018 to December 2019 was randomly divided into the control group and the observation group with 34 cases in each. The control group received routine nursing care, and the observation group received predictive care. care. The two groups were compared in terms of the cause of bleeding, the amount of normal saline injected into the balloon, the time of balloon compression, and the drainage volume of the drainage tube from the time of placement to the removal of the balloon. , the number of cases transferred to ICU and the number of cases of hysterectomy. Results There was no significant difference between the two groups in the causes of bleeding, the amount of normal saline injected into the balloon, the compression time of the balloon, and the drainage volume of the drainage tube after placement to the removal of the balloon (P>0.05). There were no deaths among 68 puerperae, and all were cured and discharged. In terms of postpartum hemorrhage volume, blood transfusion cases, ICU transfer cases and hysterectomy, the observation group was better than the control group (t=20.608, χ2=3.571, 5.356, 7.552, 5.314, P<0.05) . There was no significant difference in hemostasis time between the two groups (t=3.571, P<0.05). Conclusion By implementing predictive nursing for puerperae after uterine balloon tamponade, the clinical outcome of mother and child can be improved, and the quality and safety of obstetric medical care can be improved.
Key words： Predictive nursing; Uterine balloon tamponade; Perioperative period; Clinical outcome
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