剖宫产术后硬膜外留置镇痛泵产妇翻身方法探讨

目的探讨剖宫产术后两种不同翻身方法对硬膜外留置镇痛泵留置时间的影响。方法2004年9-11月200例行剖宫产且术后留置镇痛泵产妇,根据住院号单双数分为两组,观察组100例术后翻身方法为:产妇由仰卧位先转为半侧卧位或侧卧位,再将人体重心往床中心平移即先侧后移。对照组100例术后翻身方法为:产妇由仰卧位将人体重心移向床一侧,再向床中央旋转90°成侧卧位,即先移后侧。观察两组产妇镇痛泵的留置时间及导管滑脱情况。结果观察组滑脱率为9%(9/100),91例无脱落,正常保留至术后48h由麻醉师拔除,而对照组滑脱率为46%,54例留置时间达48h由麻醉师拔除。两组有显著性差异(P<0.01)。结论采取新的翻身方法可以延长硬膜外镇痛泵的留置时间,减少非计划性的留置管滑脱。

The turning-body-over methods in parturients with indwelling epidural anesthesia pump after caesarean

Objective To probe into the effect of two turning-body-over methods on the indwelling duration of epidural anesthesia pump after caesarean. Methods 200 parturients hospitalized from September to November, 2004, were evenly div ided into two groups according to their odd and even numbers. In the observation al group, the parturients first changed their supine position to side-lying posi tion or semi-side-lying and then moved to the center of bed, while those in the control group first moved to one side of bed and then changed the supine positio n to side-lying position. The indwelling duration and slippage were observed and compared. Results The slippage rates in the observational group and in the co ntrol group were 9% and 46% respectively, 91 and 54 cases remaining respectively until the anesthetist withdrew them 48 hours after caeserean, with significant difference between them (P<0.01). Conclusion The first-turning-and-then-moving method helps prolong the duration of indwelling epidural anesthesia pump, thus reducing the unexpected slippage.