妊娠晚期臀位倒转术围手术期的护理效果观察  

Observational Study on the Perioperative Nursing Effects of External Inversion Procedure for Breech Position in Late Pregnancy

作　　者：刘葵英 钟菱珍 张慧华 LIU Kuiying;ZHONG Lingzhen;ZHANG Huihua(Shangyou County Maternal and Child Health Care Hospital,Jiangxi Shangyou 341200)

机构地区：[1]上犹县妇幼保健院,江西上犹341200

出　　处：《深圳中西医结合杂志》2024年第3期121-124,共4页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

基　　金：江西省赣州市科技计划项目(GZ2018ZSF481)。

摘　　要：目的:分析妊娠晚期臀位倒转手术患者应用围手术期护理的临床效果。方法:研究于2021年1月至2023年6月选取上犹县妇幼保健院80例妊娠晚期胎儿臀位为观察对象,均行臀位倒转手术,随机均分为对照组与观察组,各40例。对照组患者实施常规护理,观察组患者予以围手术期护理,评价两组患者的手术应激状态与生活质量。结果:术后,两组患者的收缩压(SBP)、舒张压(DBP)、平均动脉压(MAP)、心率(HR)、血氧饱和度(SPO2)均升高,且相比对照组,观察组患者的SBP、DBP、MAP、HR均较低,SPO2较高,差异具有统计学意义(P<0.05)。术后,两组患者的生理机能、生理职能、精力、社会功能、情感职能、精神健康评分均升高,且相比对照组,观察组患者的生理机能、生理职能、精力、社会功能、情感职能、精神健康评分较高,差异具有统计学意义(P<0.05)。结论:妊娠晚期臀位倒转手术患者应用围手术期护理可在一定程度上降低患者的手术应激,提升患者的生活质量。Objective To analyze the clinical effects of perioperative nursing for patients undergoing external inversion procedure for breech position in late pregnancy.Methods A total of 80 patients with breech position in late pregnancy were selected from Shangyou County Maternal and Child Health Care Hospital from January 2021 to June 2023 as the observation subjects,all underwent external breech inversion surgery,and they were randomly divided into a control group and an observation group,with 40 cases in each group.The control group received routine nursing,while the observation group received perioperative nursing.The surgical stress and quality of life of the two groups of patients were evaluated.Results After the surgery,the systolic blood pressure(SBP),diastolic blood pressure(DBP),mean arterial pressure(MAP),heart rate(HR),and oxygen saturation(SPO2)of the two groups increased.Compared with the control group,the SBP,DBP,MAP,and HR of the observation group were lower,and the SPO2 was higher,with statistically significant differences(P<0.05).After the surgery,the scores of physiological function,physical role,vitality,social function,emotional role,and mental health of both groups increased.Compared with the control group,the observation group had higher scores in the physiological function,physical role,vitality,social function,emotional role,and mental health,with statistically significant differences(P<0.05).Conclusion The application of perioperative nursing for patients undergoing external inversion procedure for breech position in late pregnancy can reduce the surgical stress to a certain extent and improve the quality of life of patients.

关 键 词：胎儿臀位 妊娠晚期臀位倒转手术 围手术期护理 

分 类 号：R473.371[医药卫生—护理学]