体位护理在腰麻复合硬膜外麻醉剖宫产产妇中的应用

发布时间：2018-04-14 18:19

本文选题：剖宫产产妇 + 腰麻复合硬膜外麻醉　；参考：《海南医学》2016年24期

【摘要】：目的观察剖宫产产妇腰麻复合硬膜外麻醉的体位护理效果。方法选取2014年10月至2015年1月在我院通过腰麻复合硬膜外麻醉进行剖宫手术的患者90例作为研究对象,将其按随机数表法分为观察组和对照组,每组各45例。对照组患者采用传统的护理方法,观察组患者术后6 h内不可抬高头部,身体其他部位可以自由活动,且每两小时协助产妇翻身按摩受压部位1次,比较两组患者术后并发症和不良反应发生情况。结果观察组患者术后6 h发生头疼、腰背痛、上臂麻木、骶尾部压疮及下肢深静脉血栓并发症的发生率分别为0、2.22%、4.44%、2.22%、4.44%,明显低于对照组患者的11.11%、17.78%、22.22%、13.33%、22.22%,差异均有统计学意义(P0.05);观察组患者发生寒颤、低血压、头疼及呕吐等不良反应的发生率分别为2.22%、0、6.67%、4.44%,明显低于对照组的13.33%、8.89%、22.22%、17.78%,差异均有统计学意义(P0.05)。结论剖宫产术后对产妇进行体位护理,可以减少不良反应和并发症,值得临床推广应用。
[Abstract]:Objective To observe the effect of posture nursing of cesarean section combined spinal and epidural anesthesia. Methods from October 2014 to January 2015 in our hospital by lumbar anesthesia combined with epidural anesthesia for cesarean delivery in 90 patients as the research object, which were randomly divided into observation group and control group, 45 cases in each group. The control group was treated with traditional nursing method, not the head up within 6 h of patients in the observation group, other parts of the body can be free, and every two hours to help mothers turn massage 1 times compression part, observed in the two groups of patients with postoperative complications and adverse reactions. Results the patients in the observation group after 6 h have a headache, back pain, arm numbness, sacrococcygeal bedsore and deep vein thrombosis of the lower extremity complication rate were 0,2.22%, 4.44%, 2.22%, 4.44%, significantly lower than the control group were 11.11%, 17.78%, 22.22%, 13.33%, 22.22%, difference There was statistically significant (P0.05); the observation group occurred in patients with hypotension, chills, headache and vomiting and other adverse reactions occurred in 2.22%, 0,6.67%, 4.44%, was significantly lower than the control group 13.33%, 8.89%, 22.22%, 17.78%, the differences were statistically significant (P0.05). Conclusions after cesarean section on maternal posture nursing, can reduce the adverse reactions and complications, worthy of clinical application.

【作者单位】：深圳市宝安区松岗人民医院手术麻醉科;
【分类号】：R473.71

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