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目的探讨剖宫产术后行硬膜外自控镇痛后诱发的并发症及其针对性护理措施。方法采用回顾性分析方法,选择2014年6月至2016年5月剖宫产术后接受硬膜外自控镇痛的100例产妇为观察组,选取2012年6月至2014年5月剖宫产术后不进行硬膜外自控镇痛的100例产妇为对照组,采用VAS评分评估两组产妇的术后即时和12 h、24 h的疼痛状况,记录两组产妇术后并发症发生率。结果观察组术后即时和12 h、24 h VAS评分均低于对照组,差异有统计学意义(P均<0.05)。观察组产妇嗜睡、皮肤瘙痒、恶心呕吐、尿潴留、低血压等并发症发生率稍高于对照组,但经及时处理,均得到有效缓解,并未对其生活质量造成太大影响。结论硬膜外自控镇痛可有效缓解产妇剖宫产术后疼痛状况,但可能诱发相应的并发症,因此,护理人员应制定护理措施予以针对性护理。
Objective To investigate the complications induced by epidurally controlled analgesia after cesarean section and the corresponding nursing measures. Methods A retrospective analysis method was used to select 100 maternal women receiving epidural controlled analgesia after cesarean section from June 2014 to May 2016 as the observation group and the June 2012 to May 2014 cesarean section 100 maternal women who did not undergo postoperative epidural analgesia were selected as the control group. VAS score was used to evaluate the immediate and 12 h, 24 h postoperative pain in the two groups. The postoperative morbidity was recorded. Results The VAS score of the observation group was lower than that of the control group immediately after operation and 12 h and 24 h respectively (P <0.05). Observation group maternal drowsiness, pruritus, nausea and vomiting, urinary retention, hypotension and other complications slightly higher than the control group, but after timely treatment, were effectively alleviated, did not cause much impact on their quality of life. Conclusion Epidural analgesia can effectively relieve pain after cesarean section, but may induce corresponding complications. Therefore, nursing staff should formulate nursing measures for targeted nursing.