摘要
目的探讨综合护理干预在间苯三酚联合丙泊酚无痛人工流产中的临床效果与安全性。方法 100例自愿要求无痛人工流产的早孕妇女,均采用间苯三酚联合丙泊酚进行临床麻醉。按入院治疗时间不同分为对照组和综合组,各50例。对照组给予常规护理,综合组在对照组基础上给予综合护理干预。对比两组患者术前、术后焦虑自评量表(SAS)和抑郁自评量表(SDS)评分及腹痛程度。结果术后,综合组SAS、SDS评分均低于对照组,差异均具有统计学意义(P<0.05)。综合组腹痛程度Ⅰ级35例、Ⅱ级15例、Ⅲ级0例、Ⅳ级0例,对照组腹痛程度Ⅰ级6例、Ⅱ级34例、Ⅲ级7例、Ⅳ级3例,综合组腹痛程度优于对照组,差异具有统计学意义(P<0.05)。结论采用间苯三酚联合丙泊酚进行无痛人工流产手术的安全性高、镇痛效果好,易被患者接受;同时,结合有效的综合护理干预,可大幅提升临床麻醉效果及患者满意度。
Objective To explore clinical effect and security of comprehensive nursing intervention in phloroglucinol combined with propofol for painless artificial abortion. Methods A total of 100 early pregnant women with painless artificial abortion voluntarily were all treated with phloroglucinol combined with propofol for clinical anesthesia, and divided by different hospitalized time into control group and combination group, with 50 cases in each group. The control group received conventional nursing, and the combination group also received comprehensive nursing intervention. Comparison were made on self-rating anxiety scale（SAS） score, self-rating depression scale（SDS） score and degree of abdominal pain before and after operation in two groups. ResultsAfter treatment, the combination group had lower SAS and SDS score than the control group, and the difference had statistical significance（P〈0.05）. The combination group had 35 grade Ⅰ abdominal pain cases, 15 grade Ⅱ cases, 0 grade Ⅲ cases, and 0 grade Ⅳ cases. The control group had 6 grade Ⅰ abdominal pain cases, 34 grade Ⅱ cases, 7 grade Ⅲ cases, and 3 grade Ⅳ cases. The combination group had better degree of abdominal pain than the control group, and the difference had statistical significance（P〈0.05）. Conclusion Comprehensive nursing intervention in phloroglucinol combined with propofol for painless artificial abortion shows high security, good analgesic effect, and accepted by patients, meanwhile clinical anesthesia effect and satisfaction of patients can be increased substantially, along with effective comprehensive nursing effect.
出处
《中国现代药物应用》
2017年第1期171-173,共3页
Chinese Journal of Modern Drug Application
基金
广东省人口和计划生育委员会科研项目申报(项目编号:2012238)
关键词
无痛人工流产
综合护理
间苯三酚
丙泊酚
宫颈软化扩张程度
Painless artificial abortion
Comprehensive nursing
Phloroglucinol
Propofol
Cervix softening and expansion degree
