CAJ | 학술논문

目的探讨氯普鲁卡因椎管内麻醉用于剖宫产术后暂时性神经综合征(transient neurologic syndrome,TNS)的临床特点与护理.方法观察950例氯普鲁卡因椎管内麻醉剖宫产术后产妇的TNS临床表现、发生率、预后、产妇主观感受及护理情况.结果 16例患者麻醉术后出现TNS,发生率为1.68％.临床表现为腰背疼痛,可向臀部、下肢放射或伴感觉异常,持续1～4天,部分患者需药物对症治疗.所有患者均在1周内痊愈,但多数患者及家属担心有神经后遗症.结论氯普鲁卡因椎管内麻醉剖宫产术后患者的TNS发生率为1.68％,可在1周内痊愈,但医护人员应做好术后护理工作,消除患者及家属对神经后遗症的焦虑.
목적 탐토록보로잡인추관내마취용우부궁산술후잠시성신경종합정(transient neurologic syndrome,TNS)적림상특점여호리.방법 관찰950례록보로잡인추관내마취부궁산술후산부적TNS림상표현、발생솔、예후、산부주관감수급호리정황.결과 16례환자마취술후출현TNS,발생솔위1.68％.림상표현위요배동통,가향둔부、하지방사혹반감각이상,지속1～4천,부분환자수약물대증치료.소유환자균재1주내전유,단다수환자급가속담심유신경후유증.결론 록보로잡인추관내마취부궁산술후환자적TNS발생솔위1.68％,가재1주내전유,단의호인원응주호술후호리공작,소제환자급가속대신경후유증적초필.
Objective To study clinical feature and nursing intervention of transient neurologic syndrome (TNS) after spinal anaesthesia with chloroprocaine in caesarean section.Methods 950 pregnant woman undergoing caesarean section after spinal anesthesia with chloroprocaine were included in the study.Observed incidence,clinical feature,prognosis of TNS,subjective feeling of TNS pregnant woman,and nursing experience.Results There were 16 cases of TNS (1.68％),defined as the new onset of lower back pain that radiated bilaterally to buttocks and lower limbs or distally.Symptoms usually disappeared within 4 days.Part of patients needed symptomatic treatment drugs.All patients recovered within I week,while most of the patients worried about neurologic sequelae.Conclusions The incidence of TNS was 1.68％ after spinal anaesthesia with chloroprocaine in caesarean section,which resolved spontaneously within 1 week.Medical staff should do due diligence during postoperative care period to lessen the anxiety on neurologic sequelae among patients and their family members.