剑突下施压减轻剖宫产术中胃部疼痛的研究  

Minimizing stomach pain during Cesarean section by applying appropriate pressure to a zone slightly below the xiphoid process

作　　者：刘俐[1] 赖红梅 

机构地区：[1]宜宾市第二人民医院产前诊断科,四川宜宾644000 [2]宜宾卫生学校

出　　处：《护理学杂志》2012年第12期7-8,共2页

摘　　要：目的减轻剖宫产术中胎儿娩出后产妇上腹部疼痛。方法选择同期剖宫产手术胎儿娩出后出现上腹部疼痛产妇60例,随机分成两组各30例。观察组由巡回护士于产妇上腹部剑突下适当施压,缓解后15min改换1kg小沙袋施压。对照组常规予阿托品0.5mg静脉注射或/和镇静剂静脉注射。结果观察组疼痛减轻效果显著优于对照组(P<0.05);不良反应中恶心呕吐、心慌的发生率显著低于对照组(P<0.05,P<0.01)。结论剑突下适当施压能有效解除剖宫产术胎儿娩出后产妇发生的上腹部不适,减少镇静药物的使用。Objective To relieve severity of pain in upper abdomen after a baby is delivered through Cesarean section. Methods Totally, 60 women complaining of upper abdominal pain after their babies were delivered through Cesarean section, were commensurately randomized into a control group and an observation group. To alleviate upper abdominal pain, the control group received intravenous injection of atropine 0.5 mg and/or sedatives. For the observation group, the circulating nurse applied appropriate pressure to a zone slightly below the xiphoid process by using the side of the palm which stayed in place for 15 rain, and then a 1 kg sand bag was used to pressurize the same zone. Results The observation group experienced less pain than the control group after the intervention （P〈0.05）, and they had fewer incidences of nausea and vomiting, and heart palpitation than the control group （P〈0.05, P〈0.01）. Conclusion By nurses＇ applying appropriate pressure to a zone slightly below the xiphoid process, women＇s experience of upper abdominal pain after their babies were delivered through Cesarean section is relieved, and the usage of sedatives is reduced.

关 键 词：剖宫产 上腹部疼痛 胃部不适 剑突 施压 恶心呕吐 烦躁 

分 类 号：R473.71[医药卫生—护理学]