一种无痛人工流产腿部定位绑带的临床应用及效果评价  

A design of a leg positioning straps in painless induced abortion and its clinical applications

作　　者：洪蕊 陈金芳 项良春 

机构地区：[1]皖南医学院第一附属医院弋矶山医院妇科,芜湖241000

出　　处：《中国实用护理杂志》2017年第29期2286-2288,共3页Chinese Journal of Practical Nursing

摘　　要：目的 探讨采用腿部定位绑带对无痛人工流产手术的效果.方法 选取2016年8-12月因意外妊娠自愿接受无痛人工流产手术患者210例.按照随机数字表法分为试验组和对照组各105例,对照组使用传统的方法固定,用自制简单的腿部固定带或绳;试验组则选择无痛人工流产定位绑带妥帖固定双腿膝部,麻醉医生缓慢静脉推注药物,患者意识消失后施行无痛人工流产术,2组均由同一医生操作实施手术.观察并比较2组患者的手术时间、术中出血量、术中不良反应和满意度.结果 试验组患者手术时间（8.07 ± 1.80）min,术中出血量（12.23 ± 5.97）ml,对照组分别为（11.01 ± 2.63）min、（20.03 ± 8.85）ml,2组比较差异有统计学意义（t=7.491、9.451,均P=0.000）.试验组患者腿部移位、器械移位、腿部不适感发生率分别为0、1.0%（1/105）、1.9%（2/105）,低于对照组的28.6%（30/105）、8.6%（9/105）、12.4%（13/105）,差异有统计学意义（χ^2=35.00、6.72、8.69,均P〈0.05）.试验组非常满意68例,较满意35例,不满意2例,对照组分别为39、52、14例,2组满意度比较差异有统计学意义（χ^2=20.182,P=0.000）.结论 无痛人工流产腿部定位绑带具有方便、安全、稳固、保暖等优点,不仅降低术中并发症的发生,还提高了医务人员工作效率,值得临床推广应用.Objective To discuss the effects of a leg positioning straps in painless induced abortion. Methods This study selected a total of 210 cases with unintended pregnant women who volunteered to perform the painless induced abortion from August to December in 2016. Patients were divided into control group（105 cases,taking the traditional leg fixing way）and experimental group（105 cases,fixing knee with leg positioning straps）by random digits table method.Two groups were performed by the same anesthetist and doctor. The operation time, intraoperative blood loss, intraoperative adverse reactions and satisfaction were observed and compared between the 2 groups. Results The operation time and hemorrhage was（8.07±1.80）min,（12.23±5.97）ml in experimental group,and （11.01±2.63）min, （20.03 ± 8.85）ml in control group, and there was significant difference（t=7.491, 9.451, all P=0.000）.The incidence of leg moves, equipment moves, leg discomfortable was 0, 1.0%（1/105）, 1.9%（2/105） in experimental group and 28.6%（30/105）, 8.6%（9/105）, 12.4%（13/105）in control group, and there was significant difference （χ^2=35.00, 6.72, 8.69, all P〈0.05）. In experimental group, 68 cases was very satisfied,35 cases were satisfied,2 cases were not satisfied,the control group was 39,52,14,respectively, and the satisfaction between the 2 groups was statistically significant（χ^2=20.182,P=0.000）. Conclusions The leg positioning straps is not only convenient, safe, steady, humanistic but also decreasing the incidence of adverse reaction and enhancing the medical staff＇s working efficiency. It is worth of more popular application in clinical operation.

关 键 词：无痛人工流产 腿部定位绑带 优质护理 效果 

分 类 号：R473.71[医药卫生—护理学]