液体摄入量对腰硬联合神经阻滞分娩镇痛产妇发热的影响

目的:比较分析不同液体摄入量对腰硬联合神经阻滞分娩镇痛产妇发热的影响。方法:选取本院(在2013年5月～2017年8月)收治的480例腰硬联合神经阻滞分娩镇痛产妇作为研究对象,按照不同液体摄入量随机分为A组(小于100ml/h)、B组(100ml/h～200ml/h)、C组(200ml/h～300ml/h)、D组(300ml/h～400ml/h)、E组(大于400ml/h)。采用SPSS20.0统计学软件进行统计学分析五组产妇发热率、不良反应发生率(呕吐、头晕、头痛、腹胀以及大汗等)、经口平均摄入量和静脉平均摄入量。结果:C组产妇发热率为8.33%(8/96)、A组产妇发热率为43.75%(42/96)、B组产妇发热率为36.46%(35/96)、D组产妇发热率为18.75%(18/96)、E组产妇发热率为13.54%(13/96),C组产妇发热率显著低于其他四组(P<0.05);C组呕吐、头晕、头痛、腹胀以及大汗等不良反应发生率显著低于其他四组(P<0.05),ABCDE五组产妇经口平均摄入量和静脉平均摄入量比较有统计学意义(P<0.05)。结论:200ml/h～300ml/h液体摄入量为最佳,既能够降低发热率,又能够降低产妇的不良反应。

Objective : To study the effect of different liquid intake on fever of pregnant women with lumbar and hard combined nerve block delivery. Methods : 480 puerperas with lumbar and hard combined nerve block delivery were randomly divided into group A(less than 100 ml/h),group B(100 ml/h-200 ml/h),group C(200 ml/h-300 ml/h),group D(300 ml/h-400 ml/h) and E group(more than 400 ml/h).Five groups of maternal fever rate using SPSS20.0 statistical software, the incidence of adverse reactions(nausea, dizziness, headache, abdominal distension and sweating etc.), the average intake and average intake of vein. Results: C group of maternal fever rate was 8.33%(8/96), A group of maternal fever rate was 43.75%(42/96 B), group of maternal fever rate was 36.46%(35/96), D group of maternal fever rate was 18.75%(18/96), E group of maternal fever rate was 13.54%(13/96), maternal fever rate in C group was significantly lower than the other four Group(P<0.05); group C, vomiting, dizziness, significantly lower than the other four groups(P<0.05, ABCDE) of five groups of maternal oral intake and average vein average intake was statistically significant(P<0.05). Conclusion: 200 ml/h-300 ml/h fluid intake is the best, not only can reduce the rate of fever.It can reduce maternal adverse reactions.