产后排尿性晕厥临床护理研究进展.docxVIP

产后排尿性晕厥临床护理研究进展 刘莉(广西河池市天峨县人民医院547300) 【摘要】 晕厥属一过性症状，具有自发性、自限性和突然性等特点。一般 认为晕厥的潜在发病机理为一过性全脑的低灌注。产后排尿性晕厥是反射性晕厥 的一种，可在产妇排尿过程和排尿结束时突然发生，通常无发病明显征兆，在血 压无明显改变的情况下，出现一过性意识障碍，表现为脉搏加快，面色苍白，意 识不清等症状，在初产妇产后首次排尿时发病率较高，初产妇产后首次排尿晕厥 的发生率约1%左右，是一种较为常见的护理意外，虽然产后排尿性晕厥通常可 迅速完全恢复，不会留下后遗症，但如果护理不够及时，可能因晕厥意识丧失引 起摔跌，可导致产妇骨折等严重后果，甚至可危及产妇生命。采取有针对性的护 理措施避免和预防产后排尿性晕厥是近年来妇产科护理工作的研究热点之一，并 己经取得了一定进展，现综述如下。 【关键词】产后 排尿性晕厥 护理 【中图分类号】R473.71 【文献标识码】A 【文章编号】1672-5085 (2013) 43-0270-03 Advances in clinical care postpartum micturition syncope Liu Li (Guangxi province Hechi city Tianfe Peoples Hospital in 547300) [Abstract] Syncope is a transient symptoms, with spontaneous, self-limiting and sudden characteristics. Generally considered the potential pathogenesis of syncope is a transient hypoperfusion whole brain. Postpartum micturition syncope is a reflex syncope , can occur suddenly at the end of the process of maternal urination and urination , usually no obvious signs of the onset, in the case of no sign讦icant change in blood pressure , a transient disturbance of consciousness, rapid pulse performanee , pale , confusion and other symptoms , voiding the first time in the early postpartum higher incidence of early postpartum first micturition syncope in cide nee of about l%,is a more comm on accident care , although postpartum micturition syncope usually rapid and complete recovery without sequelae , but if care is not eno ugh time , it may cause loss of con scious ness due to syncope Shuaidie , maternal fractures can lead to serious consequences , and even life- threatening maternal. Adopt appropriate measures to avoid and prevent postpartum care micturition syncope is one of the research hotspots in recent years, obstetrics care , and has made some progress , are summarized below . 【Keywords］ postpartum micturition syncope Care 1、产后排尿性晕厥发病机制研究 产后排尿性晕厥属于神经介导性晕厥亚型的一种，在发病机制方面尚未彻底 明确。通常认为发生产后排尿性晕厥为多种因素共同作用的结果［1］。在产后排 尿性晕厥发病机制方面可归纳为七个方面。 1.1产后排尿膀胱急速排空导致低血容量： 人体控尿主动控制方面由尿道内、外括约肌及神经完成控尿，而被动控尿则 由膀胱颈、盆底部肌肉及后尿