Effects evaluation of posture care on prevention of supine hypotensive syndrome during caesarean ;section under CSEA
10.3760/cma.j.issn.1674-2907.2016.16.019
- VernacularTitle:体位护理预防腰硬联合麻醉下剖宫产术致仰卧位综合征的效果
- Author:
Jing YANG
1
;
Baohua GOU
Author Information
1. 100050 首都医科大学附属北京友谊医院妇产科
- Keywords:
Caesarean section;
Combined spinal and epidural anesthesia;
Posture care;
Supine hypotensive syndrome
- From:
Chinese Journal of Modern Nursing
2016;22(16):2295-2297
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of posture care on prevention of supine hypotensive syndrome during caesarean section under combined spinal and epidural anesthesia(CSEA).Methods A total of 40 healthy primiparas who were performed scheduled caesarean section under CSEA from February to August in 201 5 at Beijing Friendship Hospital were selected as study objects,which were then divided randomly into intervention group and control group with 20 cases in each.After the implementation of CSEA in intervention group,nurses turned the operation tables to the left so as to raise about 30 -45°of the right side of the primiparas,while in control group primiparas were using supine position after CSEA.Continuous electrocardio-graphic (ECG)monitoring was applied to both groups,and the blood pressures,pulses and occurrence of supine hypotensive syndrome were compared between the two groups at different time points:before CSEA, shortly after turning back of body position from CSEA procedure,5 -1 0 min after CSEA and 30 min after delivery.Results The average blood pressures were 1 28 /76 mmHg and 1 06 /70 mmHg and mean pulses were 89 times/min and 96 times/min 5 to 1 0 minute after anesthesia in intervention group and control group (P <0.05).While there was no significant difference of blood pressure and pulse between the two groups before CSEA,shortly after turning over from CSEA and 30 min after delivery (P >0.05).The incidences of supine hypotensive syndrome were 1 5% (3 /20)and 65% (1 3 /20)for intervention group and control group 5 min after CSEA (P <0.05).Conclusions The posture care by lifting 30 -45°of the right side of primiparas after CSEA can prevent about half of primiparas from supine hypotensive syndrome 5 -1 0 min after CSEA during caesarean section.
