CAJ | 학술논문

目的探讨快速负压羊水减量术的护理要点.方法将2006年1月至2010年12月收治的93例术前诊断为羊水过多的孕妇作为研究对象,对快速负压羊水减量过程中护理技巧及护理配合进行总结和分析.结果 93例孕妇术程顺利,92例术后3d无感染、穿刺点出血、胎盘早剥等并发症出现.1例术2h出现腹痛、宫缩,B超示胎盘早剥,予行剖宫产取出2例死胎,孕妇情况良好.结论快速负压羊水减量术前做好孕妇解释工作,减轻其心理压力；术中密切配合,监测羊水减量时胎儿的胎心音情况及密切观察孕妇宫缩情况,对提高手术成功率及减少术后并发症具有重要意义.
목적 탐토쾌속부압양수감량술적호리요점.방법 장2006년1월지2010년12월수치적93례술전진단위양수과다적잉부작위연구대상,대쾌속부압양수감량과정중호리기교급호리배합진행총결화분석.결과 93례잉부술정순리,92례술후3d무감염、천자점출혈、태반조박등병발증출현.1례술2h출현복통、궁축,B초시태반조박,여행부궁산취출2례사태,잉부정황량호.결론 쾌속부압양수감량술전주호잉부해석공작,감경기심리압력；술중밀절배합,감측양수감량시태인적태심음정황급밀절관찰잉부궁축정황,대제고수술성공솔급감소술후병발증구유중요의의.
[Objective] To summarize the perioperative nursing points during the amnioreduction by fast and negative pressure drainage.[Methods] Amniodrainage and associated nursing care were performed in 93 hydramnios cases of pregnant women from January 2006 to December 2010,and the nursing key points were summarized.[Results] Operations were performed successfully in 93 hydramnios cases of pregnant women.No complications occurred in 92 eases 3 d after operation.Bellyache and uterine contraction occurred in one case 2h after operation,which indicated placental abruption,two dead fetuses were got out by cesarean section.[Conclusions] The nursing key points included preoperative psychological nursing by interpretation of the operation,monitoring fetal heart sounds and close observation of contrac-tions in pregnant women.Careful perioperative nursing for patients with hydramnios is important to improve the success rate and reduce postoperative complications.