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1、穴位按摩干預(yù)剖宮產(chǎn)硬膜外麻醉后寒戰(zhàn)的效果研究劉佳1、黃海龍2、李琳2、陳靜2、曾雯2、郝義2、邸鐵濤3(1.貴陽中醫(yī)學(xué)院第二附屬醫(yī)院護理部550001;2.貴陽中醫(yī)學(xué)院第二附屬醫(yī)院手術(shù)室550001;3.貴陽中醫(yī)學(xué)院護理學(xué)院研究生550001)[摘要]目的:剖宮產(chǎn)硬膜外麻醉后寒戰(zhàn)為常見并發(fā)癥,為了解除寒戰(zhàn),減少隨之而來的影響,采用穴位按摩干預(yù)剖宮產(chǎn)患者術(shù)中寒戰(zhàn),并進行臨床對比觀察。方法:選擇我院2014年6月至2014年12月剖宮產(chǎn)手術(shù)患者60例,隨機分為觀察組30例及對照組30例,對照組實施常規(guī)護理,觀察組在常規(guī)護理的基礎(chǔ)上,采用穴位按
2、摩進行護理干預(yù),并將相應(yīng)時段測得的體溫平均值、臨床并發(fā)癥的發(fā)生率進行對比分析。結(jié)果:觀察組比對照組術(shù)后寒戰(zhàn)發(fā)生率降低16.67%,兩組差異只有統(tǒng)計學(xué)意義(P<0.05)。結(jié)論:穴位按摩能有效干預(yù)剖宮產(chǎn)硬膜外麻醉后寒戰(zhàn),并減少術(shù)中并發(fā)癥的發(fā)生,值得在臨床中推廣應(yīng)用。[關(guān)鍵詞]穴位按摩;硬膜外麻醉后;寒戰(zhàn);效果Theeffectresearchofacupointmassageoninterventionofshiveringduringcesareansectionunderepiduralanesthesia/LiuJial,HuangH
3、ailong2,LiLin2,ChenJing2,ZengWen2,HaoYi2,DiTietao3(1.NursingDepartmentofTheSecondAffiliatedHospitalofGuiyangTraditionalChineseMedicineCollege550001;2.OperationRoomofTheSecondAffiliatedHospitalofGuiyangTraditionalChineseMedicineCollege550001;3.GraduateStudentofNursingColle
4、geofGuiyangTraditionalChineseMedicineCollege550001)[Abstract]Objective:Shiveringisthecommonpostoperativecomplicationduringcesareansectionunderepiduralanesthesia,inordertoavoidshiveringanddecreaseattendantinfluence,tocompareandobservetheeffectofacupointmassageoninterventio
5、nofshiveringduringcesareansection.Method:60patientsreceivedcesareansectioninourhospitalfromJune2014toDecember2014weredividedintoobservationgroupandcontrolgroup,with30patientsineachgroup,controlgroupreceivedroutinenursing,whileobservationgroupaddedacupointmassageinterventi
6、onbasedoncontrolgroup,comparedandanalyzedtwogroups’meanvalueofbodytemperatureandtheincidenceofclinicalcomplications.Result:Theincidencerateofshiveringinobservationgroupwas16.67%lowerthancontrolgroup,thedifferencebetweentwogroupshadstatisticalsignificance(P<0.05).
7、Conclusion:Acupointmassagehasgoodeffectoninterventionofshiveringduringcesareansectionunderepiduralanesthesia,anditcanreducetheappearancerateofintra-operativecomplication,whichisworthyofclinicalpromotionandapplication.[Keywords]Acupointmassage;Epiduralanesthesia;Shivering;
8、Effect寒戰(zhàn),硬膜外麻醉后的常見并發(fā)癥,是機體骨骼肌以節(jié)律9一11次/分做不隨意的節(jié)律性收縮,也是不同肌纖維肌電的同步化,機體對寒冷刺激的體溫調(diào)節(jié)反應(yīng),發(fā)生率為5%-65%。盡管寒戰(zhàn)是機體