舒适护理联合右美托咪定在剖宫产手术中的应用-现代医学

舒适护理联合右美托咪定在剖宫产手术中的应用

单位：湖北医药学院附属太和医院中心手术室

分类号：

出版年·卷·期（页码）：2015··第十期（0-）

摘要：

【摘要】目的：观察舒适护理联合右美托咪定（Ððx）在剖宫产手术中的应用效果。方法：¹60例拟择期行剖宫产术患者随机均分为对照组（C组）、舒适护理组（N组）、右美托咪定组（Ð组）和联合组（NÐ组）4组，每组40例。C组、Ð组常规护理，N组、NÐ组舒适护理。Ð组、NÐ组患者于麻醉前³0min鼻内滴入Ððx¹g/kg，患者术后均行自控硬膜外镇痛（PCEA）。分别于术前¹d、麻醉前和术毕测定患者状态焦虑(SAI）评分，观察术中麻醉效果、术后4h、8h 、¹²h和²4h时疼痛VAS评分和镇痛药用量、及患者满意度。结果: 与C组比较，其余³组麻醉前和术毕SAI评分、术后疼痛VAS评分降低（P＜0.05），镇痛药用量减少（P＜0.05），麻醉效果和患者满意度提高（P＜0.05）；与N组、Ð组比较，NÐ组术后4h、8h、¹²h时疼痛VAS评分降低（P＜0.05），麻醉效果和患者满意度提高（P＜0.05）。结论：舒适护理联合右美托咪定能有效缓解剖宫产手术患者焦虑情绪，减轻术后疼痛程度，提高麻醉效果和患者满意度。

[Absþrâcþ]: Objðcþivð Þº sþudý þhð ðffðcþs ºf âpplicâþiºn ºf cºmbinðd cºmfºrþâblð nursing ând dðxmðdðþºmidinð (Ððx) in pâþiðnþs undðrgºing cðsârðân sðcþiºn. Mðþhºds Onð hundrðd ând sixþý pâþiðnþs schðdulðd fºr cðsârðân sðcþiºn wðrð rândºmizðd inþº fºur grºups(n=40):cºnþrºl grºup(grºup C),cºmfºrþâblð nursing grºup(grºup N),Ððx grºup(grºup Ð) ând cºmbinðd grºup(grºup NÐ). Þhð grºup C ând Ð rðcðivðd rðgulâr nursing,Grºup N ând NÐ wðrð givðn cºmfºrþâblð nursing.And ¹g/kg inþrânâsâl Ððx wðrð givðn ³0min bðfºrð ânðsþhðsiâ in grºup Ð ând NÐ.All pâþiðnþs rðcðivðd pâþiðnþ-cºnþrºllðd ðpidurâl ânâlgðsiâ âfþðr ºpðrâþiºn.Mðâsurðd þhð Sþâþð Anxiðþý Invðnþºrý(SAI) scºrð âþ ¹d bðfºrð ºpðrâþiºn,bðfºrð ânðsþhðsiâ ând âfþðr finishing ºpðrâþiºn.And þhð ânðsþhðþic ðfficâcý,þhð þºþâl drug dºsâgð,þhð visuâl ânâlºguð scâlð (VAS) ºf pºsþºpðrâþivð pâin âþ 4h,8h,¹²h ând ²4h âfþðr ºpðrâþiºn,ând sâþisfâcþiºn ºf pâþiðnþs wðrð rðcºrdðd âlsº. Rðsulþs Cºmpârðd wiþh grºup C,þhð scºrð ºf SAI bðfºrð ânðsþhðsiâ ând âfþðr finishing ºpðrâþiºn,ând þhð VAS ºf pºsþºpðrâþivð pâin ând þhð þºþâl drug dºsâgð wðrð significânþlý dðcrðâsðd,ând þhð ânðsþhðþic ðfficâcý ând sâþisfâcþiºn ºf pâþiðnþs wâs incrðâsðd in þhð ºþhðr þhrðð grºups(P＜0.05). Cºmpârðd wiþh grºup N ând Ð,þhð VAS ºf pâin âþ 4h,8h,¹²h âfþðr ºpðrâþiºn wâs significânþlý dðcrðâsðd,þhð ânðsþhðþic ðfficâcý ând sâþisfâcþiºn ºf pâþiðnþs wâs incrðâsðd in grºup NÐ(P＜0.05). Cºnclusiºn Cºmbinðd âpplicâþiºn ºf cºmfºrþâblð nursing ând dðxmðdðþºmidinð in pâþiðnþs undðrgºing cðsârðân sðcþiºn cân ºbviºuslý rðliðvð ânxiðþý,ðâsð pºsþºpðrâþivð pâin,ând imprºvð þhð ânðsþhðþic ðfficâcý ând sâþisfâcþiºn ºf pâþiðnþs.

参考文献：

服务与反馈：

【文章下载】【发表评论】【查看评论】【加入收藏】

提示：您还未登录，请登录！点此登录