保暖结合体位调节对剖宫产产妇术中寒战及仰卧位低血压综合征的影响

Prevention of shivering and supine hypotension syndrome of cesarean section women with warm environment and postural adjustment

目的观察保暖结合体位调节对剖宫产产妇术中寒战及仰卧位低血压综合征的预防效果。方法选取2018年1-12月于我院性剖宫产手术产妇82例,采用随机数字表法将其分为观察组(n=40)和对照组(n=42),对照组采用常规护理方式,观察组在对照组基础上增加环境保暖结合体位调节干预。比较2组寒战和母婴不良事件发生情况。结果观察组术中寒战程度轻于对照组(Z=-2.700,P=0.007);仰卧位低血压综合征、低氧血症、新生儿窒息发生率均低于对照组(χ^2=8.010,P=0.005;χ^2=8.040,P=0.005;χ^2=5.311,P=0.021)。结论采用环境保暖结合体位调节的护理方式可有效减轻剖宫产产妇术中寒战,减少仰卧位低血压综合征、低氧血症、新生儿窒息等不良事件,保证母婴安全。

Objective To observe the preventive effect of warm environment combined with postural adjustment on shivering and supine hypotension syndrome during the cesarean section.Methods Eighty-two parturients receiving the caesarean section in 2018 were divided into an observation group of 40 and a control group of 42 according to a random number table.Both groups were given routine nursing,while the observation group was additionally provided with being kept warm and adjusted body positions.The incidences of shivering and maternal-infant adverse events during the operation were compared between the two groups.Results Compared with the control group,the incidences of shivering,supine hypotension syndrome,hypoxemia and neonatal asphyxia were significantly lower in the observation group(Z=-2.700,P=0.007;χ^2=8.010,P=0.005;χ^2=8.040,P =0.005;χ^2=5.311,P =0.021).Conclusion Warm environment combined with postural adjustment can effectively prevent the adverse events such as shivering and supine hypotension syndrome in cesarean section and ensure the safety of mother and infant.