硫酸镁对重度子痫前期产妇剖宫产术后疼痛的护理研究

The Research of Magnesium Sulfate on the Pain of Severe Preeclampsia after Cesarean Section and Its Nursing Experience

目的:观察和评价静脉输注硫酸镁对重度子痫前期的产妇剖宫产后镇痛效果的影响及临床护理。方法:选取2012年1月-2014年2月本院收治的200例重度子痫前期行剖宫产的产妇作为研究对象,按照随机数字表法将其分为观察组和对照组各100例。观察组术后静脉注射硫酸镁溶液,对照组注射等量生理盐水。对两组患者给予对应的临床护理,观察两组患者术后不良反应的发生率及VAS评分,测定患者血中儿茶酚胺(CA)的浓度。结果:观察组的恶心、呕吐和皮肤瘙痒的发生率分别为5.00%、6.00%和13.00%,均明显低于对照组的14.00%、15.00%和25.00%,差异均有统计学意义(P<0.05),而两组尿潴留的发生率比较差异无统计学意义(P>0.05)。观察组的VAS评分结果明显优于对照组,差异有统计学意义(Z=11.83,P<0.05)。结论:硫酸镁在重度子痫前期的产妇剖宫产后镇痛中疗效较为明显,应用较为安全。通过配合良好的优质护理,能够在达到镇痛目标的同时实现经济性,故具有推广和应用的价值。

Objective： To observe and evaluate the effect of intravenous infusion of Magnesium sulfate on severe preeelampsia maternal cesarean analgesia and clinical nursing. Method： The clinical data of 200 cases of severe preeclampsia after cesarean section from January 2012 to February 2014 were chosen as the research objects.They were randomly divided into the observation group and the control group according to the random number table method, 100 eases in each group.After operation, the observation group was given intravenous injection of Magnesium sulfate solution, while the control group was injected with physiological saline of the same amount.Given the clinical nursing corresponding to two groups of patients, the incidence of adverse reactions and VAS score between the two groups were observed and compared, and the concentration of cateeholamines （ CA ） in blood was determined.Result： After operation, the incidence rate of nausea, vomiting and pruritus in the observation group were 5.00%, 6.00% and 13.00, they were significantly lower than 14.00%, 15.00% and 25.00% in the control group, the differences were statistically significant （ P〈0.05 ）, but there was no significant difference between the two groups in the incidence of urinary retention （ P〉0.05 ） . The VAS score of the observation group was significantly better than the control group, the difference was statistically significant （P〈0.05） .Condusion： The effect of Magnesium sulfate in severe preeelampsia maternal cesarean analgesia is more obvious, application is more secure.Through the coordination of nursing quality good, can realize the economy toanalgesic targets at the same time, it has the value of popularization and application.