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目的将医护协同模式运用于临床,了解其对降低剖宫产率及其在女性身体机能的恢复中的作用。方法选择2008年5月～2009年5月在笔者所在医院产检、分娩的867例孕产妇为研究对象,随机分为干预组(284例)及对照组(583例),用医护协同的模式进行干预,经阴道顺娩共558例,其中干预组阴道顺娩223例作为A组,对照组阴道顺娩335例作为B组,调查各组女性身体机能的恢复情况。结果干预组阴道顺娩率78.5%,对照组阴道顺娩率57.5%,组间差异有显著性意义(P<0.05);B组孕产妇产时、产后出血量明显多于A组(P<0.05);B组产时疼痛评分明显低于A组(P<0.05);A组产妇产后3个月评分明显高于B组(P<0.05),但均低于娩前12个月的评分;A组产后6个月性功能评分略高于B组,差异无显著意义(P>0.05);两组产妇产后12个月的女性性功能评分差异无显著性(P>0.05);下肢静脉血栓形成率、开奶时间、恶露持续时间及母乳喂养情况两组间差异无显著性。结论医护协同模式运用于临床不仅有利于降低剖宫产率,还有利于女性身体机能的恢复。
Objective To apply the model of health care collaboration in clinical practice to understand its role in reducing cesarean section rate and its recovery from female body function. Methods From May 2008 to May 2009, 867 pregnant women, who were examined and delivered at the author’s hospital, were randomly divided into intervention group (284 cases) and control group (583 cases) Intervention, transvaginal delivery of a total of 558 cases, of which 223 cases of vaginal delivery in the intervention group as a group A, control group 335 cases of vaginal delivery as a group B to investigate the recovery of female body function in each group. Results The vaginal delivery rate was 78.5% in the intervention group and 57.5% in the control group, with significant difference between the two groups (P <0.05). In group B, the amount of postpartum hemorrhage was significantly higher than that in group A (P (P <0.05). The pain scores in group B during laboring were significantly lower than those in group A (P <0.05). The score of 3 months postpartum in group A was significantly higher than that in group B (P <0.05) (P> 0.05). There was no significant difference in sexual function scores between the two groups at 12 months postpartum (P> 0.05), lower limbs Venous thrombosis rate, open milk time, duration of lochia and breastfeeding situation no significant difference between the two groups. Conclusion The application of medical coordination model in clinic not only helps to reduce the rate of cesarean section but also helps the recovery of female body function.