腰-硬联合麻醉在剖宫产术后不同卧床体位比较  

The Different Bed Rest Position Compared after Cesarean Section with Combined Spinal-Epidural Anesthesia

作　　者：胡雪蓉[1] 梁彩侠[1] 代文涛[1] 

机构地区：[1]安徽省蚌埠医学院第一附属医院手术室,233004

出　　处：《中华全科医学》2009年第3期320-321,共2页Chinese Journal of General Practice

摘　　要：目的探讨腰-硬联合麻醉术后患者的合理体位。方法选取腰-硬联合麻醉剖宫产术后患者120例,随机分为实验组和对照组,每组60例。实验组患者采取术后生命体征平稳后取舒适体位,对照组患者采取术后去枕平卧6h后改半卧位。观察记录两组术后腰痛、头痛及对手术后体位感受的评级情况。结果实验组术后腰痛发生率低于对照组,两组比较差异有统计学意义(P<0.01),两组术后头痛发生率比较差异无统计学意义(P>0.01),对照组患者体位不适感明显高于实验组,两组比较差异有统计学意义(P<0.01)。结论腰-硬联合麻醉患者术后生命体征平稳后取舒适体位,可减少术后腰痛的发生率,提高对手术后体位的感觉舒适度,并不增加术后头痛的发生率。Objective Explore a reasonable position after combined spinal-epidural anesthesia. Methods 120 eases patients after cesarean section with combined spinal-epidural anesthesia were randomly divided into experimental and control groups,each group had 60 eases, Experimental group patients took a comfortable position after stable vital signs, the control group patients took supine position after remove pillow and then taking semireclining position after 6 hours. Low back pain, headache and the feelings of body position after surgery in two groups were observed and recorded. Results The incidenee of low baek pain in the experimental group was lower than the control group, The two groups had significant differenee（ P 〈 0. 01 ）, and the incidence of headache was no signifieant difference（ P 〉0.01 ）. The patients with postural discomfort in the eontrol group were significantly higher than the experimental group （ P 〈 0.01 ）. Conclusion After vital signs stable with combined spinal-epidural anesthesia, taking a comfortable position can reduce the ineidenee of postoperative low baek pain, improve the position of comfortable feelings after surgery, and does not increase the incidence of postoperative headache.

关 键 词：腰-硬联合麻醉 剖宫产 舒适体位 

分 类 号：R473.71[医药卫生—护理学] R614.42[医药卫生—临床医学]