摘要
目的探讨肥胖患者剖宫产全身麻醉术后复苏期的护理观察。方法选取2013年6月~2015年5月进行剖宫产手术的肥胖产妇66例作为研究对象,采用随机数字表法将其分为观察组和对照组,各33例。观察组产妇根据术后复苏期的特点采取针对性护理干预,对照组产妇则采用传统护理,比较两组产妇在苏醒期的血压、心率、躁动情况及全身麻醉之后的恢复情况。结果观察组产妇血压及心率均低于对照组,出现躁动率低于对照组,睁眼时间、呼之握拳时间、自主呼吸时间以及拔管时间短于对照组,差异有统计学意义(P<0.05)。结论对肥胖产妇在全身麻醉术后复苏期进行针对性较强的综合护理模式,能够有效控制产妇在复苏期出现躁动的概率,且产妇的生命指标能够快速得以稳定,综合护理干预模式还能有效减少产妇恢复所用的时间,使患者快速苏醒,对后续的治疗也有积极的影响。
Objective To explore nursing observation of postoperative recovery period of general anesthesia for cesarean section in obesity puerpera.nethods 66 obesity puerperas who underwent cesarean section in our hospital from June 2013 to May 2015 were selected and divided into the observation group and the control group according to random number table,with 33 cases in each group.Puerperas in the observation group were given targeted nursing intervention according to the puerperas＇characteristics during postoperative recovery period;while puerperas in the control groupwas were given traditional nursing intervention.The levels of blood pressure,heart rate,the incidence of dysphoria and recov- er condition after general anesthesia were compared between two groups. Results The levels of blood pressure and heart rate of puerperas and the incidence of dysphoria in the observation group were lower than those in the control group,the time of eye opening,making a fist after calling, autonomous respiration and tube drawing in the observation group were shorter than that in the control group,and all the differences were statistically significant （P〈0.05）.Conclusion Applica- tion of targeted clinical nursing for obesity puerperas during post-operative recovery period who underwent cesarean section under general anesthesiafor maternal obesity can effectively control the incidence of dysphoria during the recovery period and quickly stabilize the puerperas＇life index.Moreover,comprehensive nursing intervention model can also effectively reduce the puerperas＇recovery time and regain puerperas＇consciousness in a fast manner,which has a positive impact on the subsequent treatment.
出处
《中国当代医药》
2017年第14期161-163,共3页
China Modern Medicine
基金
江西省南昌市指导性科技计划项目(洪科验字[2015]第16号)
关键词
肥胖患者
剖宫产
麻醉复苏期
针对性护理
Obese patients
Cesarean section
Anesthesia recovery period
Targeted nursing intervention
