论文部分内容阅读
目的探讨急危重剖宫产手术室护理流程的应用效果。方法将2015年1~12月收治的急危重剖宫产产妇106例作为对照组,2016年1~12月收治的急危重剖宫产产妇118例作为研究组。对照组给予常规护理,研究组实施急危重症剖宫产手术护理流程。比较2组手术室响应时间、术前准备时间、手术时间、血化验单获取时间、术中出血量和新生儿1min、5min的Apgar评分及母婴不良事件发生率、入住重症监护室情况。结果研究组的手术室响应时间、术前准备时间、手术时间、血化验单获取时间、出血量均显著低于对照组,新生儿1min及5min的Apgar评分均显著高于对照组,新生儿窒息、新生儿肺炎、新生儿呼吸道窘迫征及产妇产后出血比例均低于对照组,产妇及新生儿入住重症监护室的比例也低于对照组。结论急危重剖宫产术应用手术室护理流程可有效缩短手术时间、手术响应时间、术前准备时间、血化验单获取时间,降低母婴不良事件发生率及重症监护室的入住率。
Objective To explore the application effect of emergency cesarean section operating room nursing process. Methods 106 cases of acute critical cesarean section admitted from January to December 2015 were selected as the control group. 118 cases of acute critical cesarean section were admitted from January to December in 2016 as study group. Control group given routine care, research group implementation of critical care cesarean section surgical care process. The response time, preoperative preparation time, operation time, blood test time, intraoperative blood loss, neonatal 1min, 5min Apgar score and the incidence of maternal and neonatal adverse events were compared between the two groups. Results The operating room response time, preoperative preparation time, operation time, blood test sheet acquisition time and bleeding volume in the study group were significantly lower than those in the control group. The Apgar scores at 1 minute and 5 minutes in neonates were significantly higher than those in the control group. Neonatal asphyxia , Neonatal pneumonia, neonatal respiratory distress syndrome and maternal postpartum hemorrhage were lower than the control group, the proportion of mothers and newborns admitted to intensive care unit is also lower than the control group. Conclusion The application of operating room nursing procedure in acute critical cesarean section can shorten operative time, response time of operation, preoperative preparation time, acquisition time of blood test sheet, incidence of maternal and infant adverse events and occupancy rate of intensive care unit.