摘要
目的探讨麻醉护士主导的镇痛管理对分娩产妇的镇痛效果。方法选择2017年9~11月华北理工大学附属医院收治的临产妇100例,按抽签法随机分为麻醉护理组和助产护理组,每组各50例。助产护理组分娩镇痛时给予分娩产房护理常规,麻醉医师按照预先设置实施镇痛,无麻醉护士参与;麻醉护理组在此基础上由麻醉护士进行围生期镇痛管理。比较两组产妇产程疼痛情况、镇痛满意度及麻醉药物不良反应发生率。结果麻醉护理组在潜伏期、活跃期、宫口近全时、宫口开全时疼痛评分明显低于助产护理组(P<0.05);麻醉护理组镇痛满意度明显高于助产护理组(P<0.05);用药不良反应发生率明显低于助产护理组(P<0.05)。结论麻醉护士主导的镇痛管理可降低产妇的分娩时疼痛程度,提高产妇对镇痛管理的满意度,确保了母婴安全,值得临床推广。
Objective To explore the effect of anesthesia management led by anesthesia nurses on the analgesic effect of delivery women. Methods From September to November 2017, in the Affiliated Hospital of North China Polytechnic University, 100 parturients were selected and randomly divided into anaesthesia care group and midwifery care group by envelope method, with 50 cases in each group. The midwifery care group was given routine nursing delivery, the analgesia was carried according to predefined by the anesthetist, without anesthesia nurses participating. The anesthesia care group was given analgesia management during the perinatal period of the anesthesia nurses. The pain condition, satisfaction degree of analgesia and incidence of adverse drug reactions in two groups were compared. Results The pain scores of latent period, active period, near full dilatation of the uterine orifice and full dilatation of the uterine orifice in anesthesia care group were significantly lower than those in midwifery care group （P 〈 0.05）; the analgesia satisfaction in anesthesia care group was significantly higher than that in midwifery care group （P 〈 0.05）; the rate of adverse drug reaction occurrence in anesthesia care group was lower than that in midwifery care group （P 〈 0.05）. Conclusion The anesthesia management led by anesthesia nurses can relieve the pain during childbirth, improve the satisfaction of the management of the pain, and ensure the safety of the mother and infants, it is worthy of clinical promotion.
作者
高平
汤园园
高晓增
GAO Ping;TA NG Yuanyucan;GAO Xiaozeng(Department of Anesthesiology,Affiliated Hospital of North China Polytechnic University,Hebei Province,Tangshan 063000,China;Department of Dermatology,Affiliated Hospital of North China Polytechnic University,Hebei Province,Tangshan 063000,China)
出处
《中国医药导报》
CAS
2018年第26期133-136,共4页
China Medical Herald
基金
河北省医学科学研究重点课题计划(20160727)
关键词
麻醉护士
镇痛管理
分娩镇痛
Anesthesia nurse
Analgesia management
Labor analgesia
