摘要
目的探讨加速康复治疗技术(fast-track-surgery)在剖宫产围手术期中应用的可行性及临床效果。方法将372例剖宫产患者按照自愿原则分成观察组与对照组,每组186例。两组围手术期管理方法不同,观察组采用加速康复治疗技术,内容包括:(1)孕妇术前2 h口服15%的葡萄糖,(2)术前常规给予地塞米松,(3)术中应用缩宫素宫腔内注射法,(4)术后管理采用"三早一少"的方法,即早活动,早进食,早拔管,减少液体入量;对照组采用传统管理方法:比较两组的应用效果。结果观察组孕妇及新生儿低血糖反应明显减少,子宫下段形成良好,术中及术后出血量明显减少,术后并发症明显减少。结论加速康复治疗技术在剖宫产患者中应用安全,疗效好,值得推广应用。
Objective：To explore the feasibility and value of fast-track-surgery application on Perioperative period.Methods： Split 372 patents into two groups - observation group and reference group,186 patents in each group.Two groups follow up different management method.Fast-track-surgery was applied to the observation group by 1） drink glucose（15%） 2 hours before surgery;2） regular dexamethason shot pre-surgery 3） Intrauterine shot with oxytocin in-surgery 4） follow up ＂3 early 1 less＂ post-surgery - early move, early eat, early take off pipe, less intravenous drip;The reference group follow up traditional method, then compare the results. Results：for the observation group, low blood sugar reactions rate reduced obviously, better size of uterine lower - segment, less blooding during and after surgery, less complications. Conclusion： The fast -track -surgery is a good effect, safety method for wide application.
出处
《泰山医学院学报》
CAS
2009年第8期609-611,共3页
Journal of Taishan Medical College
关键词
加速康复治疗
剖宫产
疗法
fast track surgery
cesarean section
puva therapy
