体位图片结合口述应用于剖宫产时腰硬联合麻醉访视中的效果  

Effect of Postural Picture Combined with Oral Description Applied to Lumbar Rigid Combined with Anaesthetic Visits During Cesarean Section

作　　者：袁玉环 罗然尔 宋文琴 YUAN Yuhuan;LUO Raner;SONG Wenqin(Department of Surgery,Peace County People's Hospital,Heyuan,Guangdong 517200)

机构地区：[1]广东省河源市和平县人民医院手术室,广东河源517200

出　　处：《智慧健康》2022年第11期61-63,共3页Smart Healthcare

摘　　要：目的 腰硬联合麻醉目前广泛应用于剖宫产术中,但该麻醉方式对患者的体位要求高,患者常因无法正确地摆放体位影响麻醉过程,本研究探讨体位图片结合口述应用于剖宫产时腰硬联合麻醉术前访视中的临床效果。方法 选取2020年1月-2021年1月广东省河源市和平县人民医院行腰硬联合麻醉的101例剖宫产孕产妇作为研究对象,随机分为对照组(n=50)、研究组(n=51),其中对照组在术前访视中采用口述讲解体位,研究组在术前访视中采用体位图片结合口述讲解体位。比较两组孕产妇体位摆放时间、麻醉穿刺次数、一次穿刺成功率、麻醉配合率。结果 研究组孕产妇麻醉体位摆放时间(4.12±0.43)min短于对照组的(6.67±0.71)min,差异存在统计学意义(P <0.05);研究组孕产妇麻醉穿刺次数(1.12±0.13)少于对照组的(1.87±0.21)次,差异存在统计学意义(P <0.05);研究组孕产妇一次穿刺成功率(82.35%)高于对照组的(54.00%),差异存在统计学意义(P <0.05);研究组孕妇麻醉配合率(94.12%)高于对照组的(66.00%),差异存在统计学意义(P <0.05)。结论 在剖宫产手术过程中,进行腰硬联合麻醉前,强调孕妇体位摆放的重要性,于术前访视中积极采取体位图片结合口述讲解的方式指导孕妇摆放体位,不仅可缩短孕产妇摆体位时间,还能减少麻醉穿刺次数,提高麻醉穿刺成功率。Objective lumbosacral combined anesthesia is currently widely used in cesarean section, however, this anesthesia mode is highly demanding for the patient’s position, and the patient often affects the process of anesthesia due to the inability to correctly place the position of the body, this study investigates the clinical effect of body position picture combined with oral description applied in the preoperative visit of lumbosacral combined anesthesia during cesarean section. Methods A total of 101 cesarean section pregnant women who underwent combined lumbosacral anesthesia in our hospital from January 2020 to January 2021 were selected for the study and randomly divided into control group(n =50), study group(n =51), in which the control group used oral and explained body positions in combination with oral and explained body positions in the preoperative visit.The placement time,the number of anaesthetic punctures performed, the success rate of one puncture and the cooperation rate with anaesthesia were compared between the two groups. Results In the study group, the position placement time of maternal anaesthesia(4.12±0.43) min shorter than that of the control(6.67±0.71) min,the difference was statistically significant(P <0.05).The number of punctures for maternal anaesthesia in the study group(1.12±0.13) than in controls(1.87±0.21) times, and the difference was statistically significant(P < 0.05). The success rate of maternal primary puncture in the study group(82.35%) was higher than that in the control group(54.00%), and the difference was statistically significant(P <0.05).The anesthesia cooperation rate of pregnant women in the study group(94.12%) was higher than that(66.00%)in the control group, and the difference was statistically significant(P <0.05). Conclusion During cesarean section, before performing combined lumbar spine anesthesia, the importance of position placement of pregnant women was emphasized, and active adoption of position pictures combined with oral explanations in the preoperati

关 键 词：体位图片 口述 剖宫产 腰硬联合麻醉 术前访视 麻醉穿刺 

分 类 号：R614[医药卫生—麻醉学]