早期与常规下段剖宫产术后疼痛对照研究

Q4 Medicine
Versha Negi, Bijaya Mohanta, S. Pareek
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引用次数: 0

摘要

剖宫产是一种外科手术,通过在母亲的腹部和子宫上做一个切口来分娩一个或多个婴儿。剖宫产术后,麻醉效果下降后,应鼓励患儿早期下床和口服。本研究的目的是评估早期下床活动对下段剖宫产术后疼痛的影响。材料与方法:本研究采用准实验设计,采用方便抽样法入组60例受试者。实验组患者术后前3天,术后10 h进行呼吸运动、活动手脚、直立坐姿、站立和无支撑行走后评估疼痛程度。而在对照组中,母亲在手术24小时后按照医院的规定下床。结果:实验组患者术后第1天、第2天、第3天早期下床后平均疼痛评分差异有统计学意义(P < 0.001)。与对照组相比,实验组疼痛评分随治疗时间的延长而显著下降(P < 0.001)。结论:早期下床对降低剖宫产术后产妇疼痛评分有显著效果。本方法可使产妇在术后减少对镇痛药的需要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Early verse conventional ambulation on postoperative pain among women with lower segment cesarean section
Introduction: A cesarean section is a surgical procedure by which one or more babies are delivered through an incision made on a mother's abdomen and uterus. In post cesarean section phase, early ambulation and oral intake are need to be encouraged after declined effects of anesthesia. The present study was conducted with aim to assess the effectiveness of early ambulation on postoperative pain among the women with a lower segment cesarean section. Materials and Methods: The study design was quasi-experimental design and 60 subjects were enrolled by convenient sampling technique. In experimental group, the pain level was assessed after performing breathing exercise, moving legs and hands, upright sitting position, stand and walk with and without support after 10 h of surgery for first 3 postoperative days. While in control group, the mothers were ambulated after 24 h of surgery as per the hospital protocol. Results: There was a significant difference (P < 0.001) between the mean postoperative pain scores after early ambulation among experimental on day 1st, day 2nd, and day 3rd. There was a significant decline in pain scores in experimental group compared to control group (P < 0.001) with days progresses. Conclusion: The early ambulation was significantly effective in reduce postoperative pain scores among the mothers after cesarean section. The present approach may be adopted for the mothers to decline the need of analgesics during postoperative period.
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来源期刊
CiteScore
0.20
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发文量
43
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