综合护理在妇产科腰硬联合麻醉患者中的应用

Application of the comprehensive nursing in decreasing the complication of the combined spinal-epidural anesthesia in obstetrics and gynecology

目的：探讨综合护理在减少妇产科腰硬联合麻醉术中并发症的效果。方法选取280例妇产科行腰硬联合麻醉的清醒患者，采用随机数字表法分为对照组和观察组，每组各140例。对照组患者术中给予常规护理，观察组在常规护理的基础上给予心理护理联合针对术中并发症的护理等综合护理。分析两组患者术中并发症的发生率及患者对护理满意度的评价。结果观察组患者术中麻醉并发症发生率为27．86％，患者总满意度为94．29％，对照组分别为57．86％，80．71％，两组比较差异均有统计学意义（χ^2值分别为25．73，11．79；P＜0．01）。结论对妇产科行腰硬联合麻醉的患者术中给予细致、周全的综合护理措施，能有效地降低术中并发症的发生率，提高患者满意度。

Objective To explore the effect of the comprehensive nursing on reducing the intraoperative complication of the combined spinal-epidural anesthesia in obstetrics and gynecology .Methods Two hundred and eighty patients with the combined spinal-epidural anesthesia in obstetrics and gynecology were chosen and divided into the control group and the observation group according to the random number table , each with 140 cases.The control group received the routine nursing during the operation , and the observation group received the psychological nursing and intraoperative nursing according to the intraoperative complication on the basis of the routine nursing . The incidence rate of intraoperative complication and the patients ’ satisfaction were compared between two groups .Results The incidence rate of intraoperative complication and the patients ’ satisfaction were respectively 27.86%and 94.29%in the observation group , and were 57.86% and 80.71%in the control group, and the differences were statistically significant （χ^2 =25.73,11.79, respectively; P〈0.01）.Conclusions Application of the detailed and comprehensive humanistic nursing measures in the patients with the combined spinal-epidural anesthesia in obstetrics and gynecology can effectively reduce the incidence rate of intraoperative complication , and improve the patients ’ satisfaction.