与剖腹产脊椎麻醉相比,一般麻醉的患者满意度:一个多中心观察性研究
Suzana Sobot Novakovic1, Sanja Cuk2, Dragan Svraka1
1Anesthesiology and Critical Care, University Clinical Center of Republic of Srpska, Banja Luka, BIH.
Cureus
|July 31, 2023
概括
与全身麻醉 (GA) 相比,剖腹产 (CS) 的脊椎麻醉 (SA) 导致副作用更少,患者满意度更高. 在选择性CS时,建议加强手术后恢复,并推手术方案.
科学领域:
- 麻醉学 麻醉学
- 产科 产科 产科 产科 产科
- 手术护理 手术护理
背景情况:
- 剖腹产 (剖腹产) 后患者的满意度至关重要.
- 在CS的脊髓麻醉 (SA) 和全身麻醉 (GA) 之间,在结果,恢复和服务质量方面存在显著差异.
研究的目的:
- 为了比较患者的满意度和麻醉相关的不适之间SA和GA的CS.
- 评估麻醉类型对剖腹产患者体验的影响.
主要方法:
- 一项多中心观察性研究,涉及1443名接受选择性或紧急CS的患者.
- 患者的满意度被测量使用15个问题尔问卷评估麻醉相关的不适和满意度.
- 在五个医疗中心收集了16个月的数据.
主要成果:
- 80%的患者接受了GA (n=1161) 和20%的患者接受了SA (n=282).
- 最常见的不适包括手术部位疼痛 (>70%),嗜睡 (68%) 和口渴 (60%).
- 总体而言,患者满意度超过了90%,SA组的患者满意度显著提高,与GA组相比,SA组的副作用较少 (P < .001).
结论:
- 与全身麻醉相比,剖腹产的脊柱麻醉与较少的副作用和改善的患者满意度有关.
- 医院应专注于加强术后疼痛管理,并实施选择性剖腹产的手术后康复 (ERAS) 协议.
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