快速负压羊水减量术患者的护理

Nursing of patients undergoing amnioreduction by fast and negative pressure drainage

目的探讨快速负压羊水减量术的护理要点。方法将2006年1月至2010年12月收治的93例术前诊断为羊水过多的孕妇作为研究对象，对快速负压羊水减量过程中护理技巧及护理配合进行总结和分析。结果93例孕妇术程顺利，92例术后3d无感染、穿刺点出血、胎盘早剥等并发症出现。1例术2h出现腹痛、宫缩，B超示胎盘早剥，予行剖宫产取出2例死胎，孕妇『青况良好。结论快速负压羊水减量术前做好孕妇解释工作，减轻其心理压力；术中密切配合，监测羊水减量时胎儿的胎心音情况及密切观察孕妇宫缩情况，对提高手术成功率及减少术后并发症具有重要意义。

Objective To summarize the perioperative nursing points during the amnioreduction by fast and negative pressure drainage. Methods Amniodrainage and associated nursing care were per- formed in 93 hydramnios cases of pregnant women from January 2006 to December 2010, and the nursing key points were summarized. Results Operations were performed successfully in 93 hydramnios cases of pregnant women.No complications occurred in 92 cases 3 d after operation. Bellyache and uterine contrac- tion occurred in one case 2h after operation, which indicated placental abruption, two dead fetuses were got out by cesarean section. Conclusions The nursing key points included preoperative psychological nurs- ing by interpretation of the operation, monitoring fetal heart sounds and close observation of contrac-tions in pregnant women. Careful perioperative nursing for patients with hydramnios is important to improve the suc- cess rate and reduce postoperative complications.