整体护理在无痛人工流产术中的应用效果  

Application of holistic nursing in painless artificial abortion

作　　者：练贵香 江丽萍 LIAN Gui-xiang;JIANG Li-ping(Department of Emergeney,Kuiehong People＇s Hospital of Dapeng New District in Shenzhen City,Guangdong Province,Shenzhen 518119,China;Department of Gynecology and Obstetries,Kuiehong People＇s Hospital of Dapeng New Dis-trict in Shenzhen City,Guangdong Provinee,Shenzhen 518119,China)

机构地区：[1]深圳市大鹏新区葵涌人民医院急诊科,广东深圳518119 [2]深圳市大鹏新区葵涌人民医院妇产科,广东深圳518119

出　　处：《中国当代医药》2018年第17期175-177,共3页China Modern Medicine

基　　金：广东省深圳市龙岗区科技发展资金医疗卫生项目(YS2013155)

摘　　要：目的评价整体护理在无痛人工流产术中的应用效果。方法抽取58例我院2016年9月~2017年10月收治的行无痛人工流产患者,所有患者均采用丙泊酚配合芬太尼麻醉,根据随机数字表法将其分为对照组(n=29)和实验组(n=29)。对照组应用常规护理,实验组给于整体护理,分析两组麻醉效果、不良反应发生率、心率及血压情况、疼痛程度、护理满意度。结果实验组麻醉效果优良率、护理总满意度明显高于对照组,差异有统计学意义(P<0.05);实验组不良反应总发生率、疼痛程度明显低于对照组,差异有统计学意义(P<0.05);实验组心率及血压情况明显优于对照组,差异有统计学意义(P<0.05)。结论在无痛人工流产丙泊酚配合芬太尼应用中,实施整体护理措施,护理效果显著,既可提高麻醉效果、改善患者血压及心率,又可减少不良反应发生率、缓解疼痛感,值得临床推广应用。Objective To evaluate the effect of holistic nursing in painless abortion.Methods 58 patients with painless abortion who were admitted to our hospital from September 2016 to October 2017 were randomized. All patients were anesthetized with Propofol and Fentanyl,and were divided into controls group（n=29） and experimental group（n=29） according to the random number table method.The control group was treated with routine care and the experimental group was treated holistic care.The anesthetic effect,incidence of adverse reactions,heart rate and blood pressure,pain level,and nursing satisfaction were analyzed between two group.Results The of good and excellent anesthetic effect and nursing satisfaction in the experimental group were significantly higher than those in the control group（P〈0.05）.The total incidence of adverse reactions and pain in the experimental group were significantly lower than those in the control group.The differences were statistically significant（P〈0.05）.The experimental group heart rate and blood pressure were significantly better than the control group,the differences were statistically significant（P〈0.05）.Conclusion In the painless abortion propofol combined with fentanyl,the implementation of the overall care measures,significant care effect,can not only improve the anesthetic effect,improve blood pressure and heart rate in patients,but also reduce the incidence of adverse reactions,relieve pain,worthy of clinical application.

关 键 词：丙泊酚 芬太尼 无痛人工流产 整体护理 

分 类 号：R473.71[医药卫生—护理学]