剖宫产术巡回护士护理配合的改进效果分析.docVIP

剖宫产术巡回护士护理配合的改进效果分析 　　【摘要】 目的：改进剖宫产术巡回护士的护理配合，预防产妇手术并发症的发生，确保产妇手术全程安全。方法：选取在笔者所在医院行剖宫产术产妇100例，随机分为试验组和对照组各50例，对照组采用常规护理配合方法，试验组针对剖宫产术产妇潜在的并发症，改进导致气紧的麻醉体位和手术体位，引发低血压的时段预防性快速输液，恶心呕吐征兆时采用指压按压穴位，应用吸引头吸引清除阴道和子宫内积血等护理配合，比较两组产妇并发症发生的差异。结果：试验组剖宫产术产妇并发症发生率明显少于对照组（P0.05）。结论：改进剖宫产术巡回护士的护理配合，可有效减少产妇手术并发症的发生，保证了产妇安全，提高手术护理的质量。 　　【关键词】 改进； 剖宫产术； 护理配合； 预防； 并发症 　　中图分类号 R473.71 文献标识码 B 文章编号 1674-6805（2015）21-0082-03 　　【Abstract】 Objective：To improve the circulating nurse’s cooperation in caesarean section for preventing the surgical complication of puerpera and ensuring puerperal safety in the whole operation.Method：100 puerperas with caesarean section were randomly divided into the experimental group（n=50） and the control group（n=50）.The control group was taken regular nursing cooperation.Nursing cooperation in the experimental group was ameliorated for cesarean mother potential complications.The anesthetic position and operative position were improved for prevent the gas-tight.The precautionary rapid infusion was performed to prevent hypotension.Acupressure was used in occurring nausea and vomiting.Suction tip was applied to suck the blood in vagina and uterus.The complications in the two groups were compared.Result：The surgical complication were significantly less in the experimental group than that in the control group（P0.05）.Conclusion：Improvement of circulating nurse’s cooperation in caesarean section can effective decrease the surgical complication of puerpera，ensure the puerperal safety，and improve the quality of surgical nursing. 　　【Key words】 Improvement； Caesarean section； Nursing cooperation； Prevention； Complication 　　First-author’s address：Wuzhou Red Cross Hospital，Wuzhou 543002，China 　　doi：10.14033/j.cnki.cfmr.2015.21.041 　　随着人工干预技术及促排卵药物在临床上的应用，以及人民生活质量的不断提高，巨大子宫妊娠几率越来越高，巨大子宫妊娠多行剖宫产术，在术中发现常规巡回护士护理配合无法满足产妇术中生理、解剖及心理的需要，因此，笔者改进常规护理配合以适应临床护理的需要，效果显著，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　选择笔者所在医院产科2012年4月-2014年10月剖宫产手术产妇100例，随机为试验组和对照组各50例，试验组产妇年龄19～42岁，孕周37+5～40+3周，