首页|早期护理干预在剖宫产术中防治仰卧位低血压综合征的应用

早期护理干预在剖宫产术中防治仰卧位低血压综合征的应用

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目的 探究早期护理对剖宫产术中防治仰卧位低血压综合征的干预效果。方法 选取2020年3月—2023年3月在本院进行剖宫产的120例产妇作为研究对象,通过随机数表法将入组产妇分为两组,每组60例。DZ组实施常规护理,GC组实施早期护理。比较不同护理方式干预效果。结果 护理后DZ组舒张压、收缩压低于GC组,差异显著有统计学意义(P<0。05);护理后DZ组心率、呼吸频率高于GC组,差异显著有统计学意义(P<0。05);DZ组高于GC组,差异显著有统计学意义(P<0。05);GC组新生儿Apgar评分及产妇NSNS评分高于DZ组,差异显著有统计学意义(P<0。05)。结论 对剖宫产产妇在术中进行早期护理干预,可以有效降低仰卧位低血压综合征发生,利于产妇血压、心率、呼吸频率等生命体征的稳定,可进一步提升新生儿健康情况与产妇满意度,值得在临床中推广使用。
Application of Early Nursing Intervention in Prevention and Treatment of Supine Hypotension Syndrome During Cesarean Section
Objective To explore intervention effect of early nursing on prevention and treatment of supine hypotension syndrome during cesarean section.Methods The paper chose 120 postpartum women with cesarean section in our hospital from March 2020 to March 2023 as study subjects,and divided them into two groups with random number table method.60 cases in DZ group were treated with routine nursing,and 60 cases in GC group with early nursing.Intervention effect of different nursing methods was compared.Results Blood pressure levels showed,diastolic and systolic blood pressure were(55.69±6.28)mmHg and(81.23±7.56)mmHg in DZ group after nursing respectively.Corresponding indicators in GC group were(70.25±6.07)mmHg and(110.23±6.13)mmHg respectively.Those of GC group were higher than DZ group(P<0.05),difference was statistically significant.Levels of heart rate and respiratory rate in DZ group after nursing were(93.61±6.23)beats/min and(23.07±0.41)beats/min respectively.Corresponding indicators in GC group were(82.75±5.16)beats/min and(19.62±0.46)beats/min,those of GC group were lower than DZ group(P<0.05),difference was statistically significant.Incidence of adverse events was 23.33%,20.00%,and 13.33%in DZ group with supine hypotension syndrome,unilateral block insufficiency,and hypoxemia respectively.Above indicators in GC group were 3.33%,3.33%,and 0.00%respectively,those in DZ group were higher than in GC group(P<0.05),difference was statistically significant.Neonatal Apgar scores and maternal NSNS scores were(8.73±0.15)and(78.26±4.23)respectively in DZ group,and those were(9.42±0.14)and(89.93±5.22)respectively in GC group.Those of GC group were higher than DZ group(P<0.05),difference was statistically significant.Conclusion Early nursing intervention can effectively reduce incidence of supine hypotension syndrome,stabilize vital signs including blood pressure,heart rate,and respiratory rate during cesarean section,and improve health status of newborns and maternal satisfaction degree further,which is worthy of promotion and application in clinical practice.

Early nursingCesarean sectionSupine hypotension syndromePosition intervention

陈燕华、潘红连

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广东省肇庆市高要区妇幼保健院,广东 肇庆 526000

早期护理 剖宫产 仰卧位低血压综合征 体位干预

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(5)
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