不同导尿时机对腰硬联合麻醉下行急诊剖宫产孕妇的影响  

Effect of Different Catheterization Time on Pregnant Women Undergoing Emergency Cesarean Section under Combined Spinal Epidural Anesthesia

作　　者：谭翠醒 钟桂英 TAN Cuixing;ZHONG Guiying(Obstetrics and Gynecology Department,Foshan Chancheng District Central Hospital,Foshan,Guangdong 528000)

机构地区：[1]佛山市禅城区中心医院妇产科,广东佛山528000

出　　处：《智慧健康》2022年第10期47-49,共3页Smart Healthcare

摘　　要：目的 探讨不同导尿时机对腰硬联合麻醉下行急诊剖宫产孕妇的影响。方法 选取佛山市禅城区中心医院2018年1月-2019年12月收治的60例急诊剖宫产孕妇,按照随机数字表法分为对照组(n=30,采用腰硬联合麻醉前留置导尿管)和观察组(n=30,采用腰硬联合麻醉后留置导尿管),观察两组应激反应、导尿前后疼痛、术后膀胱功能恢复情况。结果 治疗后,两组应激反应[收缩压(SP)、舒张压(DP)、心率(HR)、呼吸频率(RR)]指标水平均上升,观察组低于对照组(P <0.05);观察组膀胱功能恢复有效率比较为93.32%明显高于对照组73.33%(P <0.05);观察组导尿后的疼痛率为10.00%低于对照组23.33%(P <0.05)。结论 对于急诊剖宫产孕妇在腰硬联合麻醉后留置导尿管,能够促进机体膀胱功能的恢复,降低应激反应,减少导尿后疼痛发生。Objective To investigate the effect of different catheterization time on pregnant women undergoing emergency cesarean section under combined spinal epidural anesthesia. Methods 60 cases of emergency cesarean section pregnant women in our hospital from January 2018 to December 2019were selected as the research objects. According to the simple randomized method, they were divided into the control group(n =30, indwelling catheter before combined spinal epidural anesthesia) and the observation group(n =30, indwelling catheter after combined spinal epidural anesthesia). The stress reaction, pain before and after catheterization, postoperative bladder function recovery of the two groups were observed. Results After treatment, the stress response(systolic blood pressure(SP), diastolic blood pressure(DP), heart rate(HR), respiratory rate(RR)) index levels of the two groups were increased, and the observation group was lower than the control group(P <0.05);The effective rate of bladder function recovery in the observation group was 93.32%, which was significantly higher than 73.33% in the control group(P <0.05);The pain rate after catheterization in the observation group was 10.00%, which was lower than 23.33% in the control group(P <0.05). Conclusion For emergency cesarean section pregnant women,indwelling catheter after combined spinal epidural anesthesia can reduce stress reaction, promote the recovery of bladder function and reduce the occurrence of pain after catheterization.

关 键 词：导尿时机 腰硬麻醉 孕妇 急诊剖宫产 

分 类 号：R614[医药卫生—麻醉学]