麻醉护士术前访视对剖宫产术后镇痛的影响.docVIP

精品论文 参考文献 麻醉护士术前访视对剖宫产术后镇痛的影响 陈丽丽 付东英 （南京医科大学附属南京妇幼保健院 210004） 【摘要】目的 观察麻醉护士术前访视对剖宫产患者术后镇痛的影响。方法 择期行剖宫产术患者100例随机分为试验组（A组）和对照组（B组）。A组由麻醉护士对患者采取个体化术前访视, B组术前一天未施行访视；所有患者术后使用相同药物配制的静脉自控镇痛泵(PCIA)，由不知分组的专职人员进行评价。结果 两组患者各时点VAS评分比较差异无统计学意义。术后恶心呕吐皮肤瘙痒等不良反应发生率两组比较差异无统计学意义。两组产妇对术后镇痛的满意度比较差异有统计学意义( Plt;0.05)。结论 麻醉护士术前访视可以提高产妇术后镇痛的满意度。 【关键词】 术前访视 剖宫产 术后镇痛 【中图分类号】R473.71 【文献标识码】B 【文章编号】2095-1752（2013）17-0278-02 Effects of nurse anesthetistrsquo;s preoperative visit on analgesia in patients with caesarean Labor:CHEN Li-li, FU Dong-ying. Anesthesiology Department, Nanjing Maternal and Child Health Hospital, Nanjing 210004, China 【Abstract】 Objective To measure the effects of nurse anesthetistrsquo;s individualized preoperative visit on analgesia in patients with caesarean。 Methods 100 patients with selective abdominal delivery were randomly allocated into two groups。 Group A: They received the preoperative visit of the nurse anesthetist。Group B: There was no visit the day before the surgery。All the patients after the surgery used Patient controlled analgesia(PCIA)。The drug in the PCA were the same。After the surgery, all the patients were evaluated by the other nurses who didnrsquo;t know whether the patient received the preoperative visit。 Results There was no statistical significance in VAS score。And there was no statistical significance in adverse reactions such as nausea and vomiting, itch of the skin and etc 。The patient satisfaction of the two groups had statistical significance( Plt;0.05) 。 Conclusions The Group which received the preoperative visit of the nurse anesthetist can significantly had a higher patient satisfaction 。 【Key words】Preoperative visit Caesarean analgesia after surgery 术后疼痛是人体受到手术刺激后???一种反应。疼痛会降低产妇在产后即刻给婴儿最佳照顾的能力,并对母婴早期交流产生不良影响;同时,疼痛也会降低母亲的哺乳能力[1]。随着社会的不断进步和发展,人们对生存质量的追求越来越高。良好而完善的术后镇痛成为产妇的普遍要求。现通过麻醉护士对剖宫产患者实施个体化术前访视，观察该措施对剖宫产患者术后镇痛的影响。 方法 A组由麻醉护士对产妇进行个体化术前访视，B组术前一天未施行访视