护理干预缓解产妇椎管内麻醉术后头痛的疗效观察  

Observation of nursing intervention to release headache after intraspinal anesthesia of puerperas

作　　者：向丽玲[1] 王迎春[1] 周宪[1] 杨家利 

机构地区：[1]湖南省怀化市妇幼保健院妇产科,湖南怀化418000

出　　处：《中国当代医药》2010年第15期105-106,共2页China Modern Medicine

摘　　要：目的:比较观察护理干预缓解产妇椎管内麻醉术后头痛的疗效。方法:选择60例择期行剖宫产的孕妇,麻醉后出现头痛症状,将其随机分为对照组和观察组,对照组按照常规护理,观察组在常规护理的基础上增加硬膜外注入0.9%NaCl溶液、腹部加压、心理干预等护理措施。观察记录两组孕妇的视觉模拟评分法(VAS)评分及其他并发症发生情况。结果:两组术后回病房即刻(T1)和术后12h(T2)VAS评分差异无统计学意义(P>0.05),对照组术后24(T3)、48(T4)及72h(T5)VAS评分高于观察组(P<0.05),对照组头昏发生率高于观察组(P<0.05),其他并发症两组差异无统计学意义(P>0.05)。结论:积极的护理干预能减轻术后头痛程度,促进恢复,具有临床实用价值。Objective：To compare the effect of nursing intervention to release headache after intraspinal anesthesia of puerperas.Methods：60 cases of selective cesarean with post-dural puncture headache were divided into control group and observe group randomly.Routine nursing was done in control group, while added epidural injection of NS, abdominal compression and mental intervention in observe group.Observed VAS score and other adverse effects occurrence.Results：There were no differences between two groups of T1 and T2 VAS scores（P0.05）, T3-T5 VAS scores of control group were higher than those of observe group, dizziness incidence of control group was also higher than that of observe group, There were no differences between two groups of other adverse effects.Conclusion：Active nursing intervention can release postdural puncture headache and promote recovery, this nursing method is clinically valuable.

关 键 词：椎管内麻醉 头痛 护理 产妇 

分 类 号：R473.71[医药卫生—护理学]