52例多胎妊娠经阴道B超选择性减胎术的护理体会

Nursing care of selected multiple pregnancy reduction by transvagina under ultrasound

目的探讨多胎妊娠经阴道B超引导下选择性减胎术的手术配合及护理。方法选择2013年8月至2014年7月本科室收治的多胎妊娠患者52例,在阴道B超引导下行孕早期妊娠减胎术并对其术前准备、术中配合及术后护理加以归纳和总结。结果 51例患者均行一次减胎术成功,1例患者进行了两次减胎术,14例顺利分娩,38例妊娠中,产检正常,术后均无并发症的出现。结论有效的护理措施,对减轻患者的心理压力,提高减胎术成功率及预防术后并发症的发生有重要意义。

Objective： To investigate the operation cooperation and nursing care of selected multiple pregnancy reduction by transvagina under ultrasound. Methods： For 52 patients of triplet pregnancy who received selected reduction from August 2013 to July 2014, we performed the psychological care and helped to find the location before operation, well cooperated with the doctor and guided the pregnancy women cooperating with the operation, monitored growth and development of the remaining fetus and blood coagulation of the pregnancy women after operation.At the same time we summarized the experience of nursing care in the operation. Results： In the cooperation of the nursing care, selected reduction operation of the 51 patients were very successful, except one patient had fetal reduction twice, 14 of them were delivery successful, Others are pregnancy and there were no postoperative complications Conclusion： Comprehensive observation and effective nursing care of patients with selective pregnancy reduction can reduce their psychological pressure, improve the success rate of occurrence of fetal reduction and prevention of postoperative complications.