目的:研究基于风险评估行个性化护理对剖宫产预后情况、术后静脉血栓发生率及产后康复的影响。方法:选取2021年1月至2022年4月在蚌埠市第三人民医院实施剖宫产手术的80例患者,采用随机数字表法将患者随机分为常规组和研究组,常规组行常规护理干预,研究组实施基于风险评估行个性化护理,比较两组患者预后情况、术后静脉血栓发生率及产后康复情况。结果:研究组患者术后拔管时间、进食时间、泌乳时间及排便时间分别为(10.39±3.56)h、(10.39±2.16)h、(23.41±3.69)h及(26.31±5.16)h,均显著低于常规组(P＜0.05),且其静脉血栓发生率、D-2聚体、血小板水平及凝血酶原时间低于常规组(P＜0.05);研究组患者术后6、12及24 h视觉模拟评估法(VAS)分别为(3.71±1.03)分、(3.76±0.91)分及(3.22±0.83)分,均显著低于常规组(P＜0.05);研究组患者产后1周内恶露排泄量为(80.21±15.43)mL,显著低于常规组(P＜0.05),宫底脐下距离为(2.27±0.35)cm,显著高于常规组(P＜0.05)。结论:对剖宫产患者实施基于风险评估行个性化护理,能够有效改善患者预后情况,降低术后静脉血栓发生率及疼痛程度,同时有助于促进患者术后康复,值得推广。

Objective: To study the effect of individualized nursing care based on risk assessment on the prognosis of cesarean section, the incidence of postoperative venous thrombosis and postpartum rehabilitation. Methods: A total of 80 parturient women who underwent cesarean section in the Third People's Hospital of Bengbu from January 2021 to April 2022 were selected and randomly divided into the routine group and the study group by random number table method. Routine intervention was performed on parturient women in the routine group, and personalized nursing care based on risk assessment was performed on parturient women in the study group. The prognosis, incidence of postoperative venous thrombosis and postpartum rehabilitation were compared between the two groups. Results: The extubation time, feeding time, lactation time and defecation time of the study group were (10.39±3.56) h, (10.39±2.16) h, (23.41±3.69) h and (26.31±5.16) h, respectively, which were significantly lower than those of the routine group (P＜0.05). The D-2 polymers, platelet levels and prothrombin time in the study group were significantly lower than those in the routine group (P＜0.05). The VAS scores at 6h, 12h and 24h of the study group were (3.71±1.03), (3.76±0.91) and (3.22±0.83) respectively, which were significantly lower than those of the routine group (P＜ 0.05). Within 1 week after delivery, lochia excretion in the study group was (80.21±15.43) mL, which was significantly lower than that in the routine group (P＜0.05), and the distance between the fundus and the umbilicus in the study group was (2.27±0.35) cm, which was significantly higher than that in the routinel group (P＜0.05). Conclusion: Individualized nursing based on risk assessment for cesarean section can effectively improve the prognosis of patients, reduce the incidence of postoperative venous thrombosis and pain degree, and help to accelerate recovery of woman after cesarean section, which is worthy of promotion.