摘要
目的观察腰硬联合麻醉剖宫产术后去枕平卧6小时与低枕平卧2小时后翻身侧卧位对术后常见并发症及母乳喂养的影响。方法选择100例无妊娠合并症及并发症、在腰硬联合麻醉下行剖宫产术、手术过程顺利的产妇分为试验组和对照组各50例。试验组为低枕平卧位2小时后翻身侧卧位,对照组为去枕平卧6小时。观察两组产妇头痛、恶心呕吐及母乳喂养情况。结果两组产妇术后24小时头痛、恶心呕吐的发生差异无显著性意义(P>0.05),试验组24小时内母乳喂养次数超过8次有41例,对照组仅有18例,差异有显著性意义(P<0.05)。结论腰硬联合麻醉下剖宫产术后产妇,可采用低枕平卧2小时后翻身侧卧位,不会导致术后并发症的发生,同时能改善产妇的舒适度,高效率的进行母乳喂养,提高产科护理质量。
Objective To Compare the different effects on common postoperative complications and breastfeeding between two postures that supine position without pillow for 6 hours and lateral tilt after supine position with low pillow for 2 hours after cesarean delivery （ CD ） with combined spinal and epidural anesthesia （ CSE）. Methods 100 patients without pregnant complications and incorporative diseases received CD with CSE were randomized into two groups as experimental group was supine position without pillow while the control group was supine position with low pillow. Compare the incidences of headache; nausea and vomiting as well as the breasting situation between the two groups. Results There was no significant differences in the incidences of headache ; nausea and vomiting between two groups （ P 〉 0.05 ）. Breastfeeding situation in experimental group was better than control group （The cases with breastfeeding times≥8/24hs in experimental group were 41while 18 in control group ） and there was significant difference between the two groups. Conclusions The posture of lateral tilt after supine position with low pillow for 2 hours would not cause postoperative complications,but improve comfort and benefit breastfeeding in patients after CD with CSE.
出处
《实用医院临床杂志》
2009年第5期52-53,共2页
Practical Journal of Clinical Medicine
关键词
腰硬联合麻醉
剖宫产术
体位
母乳喂养
并发症
Combined spinal and epidural anesthesia
Cesarean delivery
Posture
Breastfeeding
Complication
