摘要
目的探讨病人自控硬膜外镇痛(patient-controlled ep idural analgesia,PCEA)用于分娩的效果和护理要点。方法回顾性总结730例行病人自控硬膜外镇痛分娩产妇的护理方法,包括产妇对PCEA分娩的认识及心理护理,观察用药后反应及加强专业知识的学习。结果产妇对PCEA接受率呈上升趋势,剖腹产率降低,不影响产后出血和新生儿Apgar评分。结论病人自控硬膜外镇痛用于分娩效果好,降低剖腹产率和分娩并发症的发生。在镇痛中做好心理护理和药物的观察,是确保镇痛安全和有效的主要措施。
Objective To investigate the effect and nursing peints of patient-controUed epidural analgesis （PCEA） in parturition. Methods The nursing methods of 730 lying-in women with the patient-controlled epidural analgesis in parturition, including the understanding of PCEA, psychological nursing, the reaction after anaesthesia and the learning of professional knowledge, were retrospectively summarized. Results The rate of receiving PCEA in lying-in woman was rising. The rate of cesarean section decreased. Flooding in lying-in women and the Apgar＇ s scale in neonates were not affected by PCEA. Conclusion PECA in parturition has produced favorable results. It can decrease the rate of dystocia and complications of parturition. Psychological nursing and observation of drug reaction are key points to ensure the safety and effect of analgesia.
出处
《现代临床护理》
2006年第4期50-51,共2页
Modern Clinical Nursing
基金
2004年汕头市重点科技计划立项
项目编号汕府科[2004]102号
关键词
病人自控硬膜外镇痛
产程
护理
patient-comrolled epidural analgesis
process of parturition
nursing
