110例无痛人工流产术观察及护理体会.docVIP

110例无痛人工流产术观察及护理体会 　　[摘要] 目的:观察在严密监视与良好护理条件下实施无痛人工流产术的临床效果。方法:选择110例自愿要求使用芬太尼、丙泊酚麻醉下行无痛人工流产术的早孕妇女,同时进行积极的临床观察与护理。结果:所有产妇平稳度过手术,阴道出血少,手术时间短,镇痛效率为100%。110例无一例因为护理不当而出现感染或手术、麻醉并发症;术后经观察30～60 min后,由家人陪同平安离院。结论:无痛人工流产术消除了产妇对人工流产术的恐惧感。由于没有疼痛的刺激,大大减少了对身体的损害,同时良好的观察与护理有助于产妇的身体恢复。 　　[关键词] 无痛人工流产术;护理;芬太尼;丙泊酚 　　[中图分类号] R473.71[文献标识码]C [文章编号]1673-7210(2010)06(c)-099-02 　　 　　110 cases of painless abortion observation and nursing 　　CHEN Zhennü, YE Chenmei, LI Yanmei 　　(Department of Nursing, Dalingshan Hospital of Dongguan City, Guangdong Province, Dongguan523819, China) 　　[Abstract] Objective: To observe clinical effect of close monitoring and good care and painless abortion under the conditions of the implementation. Methods: 110 cases of voluntary required to use Fentanyl, Propofol painless abortion in early pregnancy women, while for active clinical observation and care. Results: All mothers smoothly through the surgery, less bleeding, shorter operative time, analgesic efficiency was 100%. None of them occured infection because of improper care or surgery, anesthesia complications; after surgery were observed 30-60 minites later, accompanied by their families safe discharge. Conclusion: The elimination of the maternal painless abortion artificial abortion fear. In the absence of pain stimulation, greatly reducing the damage to the body, while a good observation and care contribute to maternal body recovery. 　　[Key words] Painless abortion; Care; Fentanyl; Propofol 　　 　　无痛人工流产手术(简称无痛人流术) 指采用一定剂量的镇静镇痛剂,使产妇在无痛苦的状况下进行人工流产术[1]。在流产术中,人性化护理的目的是使患者在生理、心理、社会精神上处于满足而舒适的状态,减少或降低不适的程度,人性化护理注重给予服务对象人性化的关怀和照顾,尊重产妇的权利和人格,最大限度地满足了产妇对护理服务的需求[2]。我院于2009年6~12???共施行110例无痛人工流产术,都进行了合理的观察与护理,取得了良好的疗效,现报道如下: 　　1 资料与方法 　　1.1 一般资料 　　选择我院2009年6~12月自愿接受无痛人工流产产妇110例。无心肺等器质性疾患,年龄18~40岁,平均26.3岁,体重42~71 kg。术前行血常规、B超检查,确定是否宫内妊娠。血常规、白带常规、尿常规、心电图等检查无异常,无手术及麻醉禁忌证,无急慢性器质性病变,无高血压、心脏病。 　　1.2 流产方法 　　产妇入室后监测血压、脉搏、呼吸及SpO2。选择左前臂腕部、手背静脉穿刺,先静脉注入芬太尼1 μg/kg,1 min后再注入丙泊酚以1.5~2.5 mg/kg。待产妇意识消失后开始手术,根据手术情况,