节点文献

医护实习生“晕台”原因分析及防范

Analysis of the causes of nursing students faint in operating room

  • 推荐 CAJ下载
  • PDF下载
  • 不支持迅雷等下载工具,请取消加速工具后下载。

【作者】 宋美娣李洁黄冰沈佩英罗国保孙建良

【Author】 SONG Meidi,LI Jie,HUANG Bin,SHEN Peiying,LUO Guobao,SUN Jianliang The first affiliated hospital of Jiaxing medical college,Jiaxing women hospital,Jiaxing Zhejiang 314000

【机构】 嘉兴医学院附属第一医院嘉兴市妇幼保健院嘉兴医学院附属第一医院 浙江嘉兴314000浙江嘉兴314000浙江嘉兴314000

【摘要】 目的 :回顾分析医护实习生“晕台”原因 ,提出相应预防措施。方法 :对发生“晕台”的医护实习生进行现场救护 (平卧 ,吸氧 ,心率、血压、血糖等各项监测 )后 ,由专人对其进行询问并填写“晕台”病因调查表 ,3d后择期行颈动脉按摩试验及基础直立 (倾斜 )试验 (BTTT)。结果 :31 9位实习生中有 2 7位发生 (发生率 8 4 6 % ) ,晕台 36人次。晕台发生于第(8 86± 5 4 8)次上台 ,持续 (76 8± 34 6 )秒 ,晕台发生即刻的心率 (HR)、血压 (Bp)、脉搏氧饱和度 (SpO2 )均下降 ,但血糖(BS)值正常。事后颈动脉按摩试验阳性者 2人 ,BTTT阳性者 6人。结论 :医护实习生“晕台”原因为精神紧张、长久站立诱发的血管迷走性晕厥 ,为确保实习生安全 ,应采取相应的防范措施

【Abstract】 Objective:Reviewing analysis was used to invest the cause of nunsing students’ faint in the operating room.Method:When students’ faint happened in the operating room lie them down and given medical treatments and nursing which include vital signs monitor and normal treatments for it.After they had recovered,they were all asked to fill the questionaires.A carotid artery sinus oppress test(CASOT) and base tilt table test(BTTF) were tested.Results:There were 36 faints happened in the operating room.These usually happened during their 8.86±5.48 scrub up and the faints lasted for 76.8±34.6 seconds.Their heart rate,blood pressure,SpO 2 were all dropped,but the BS was normal.And also the CASOT and BTTT positive were 70.4% and 22.2% among 27 students are mainly due to nervous and being stand for Long.Conclusion:It is suggest that support and help should be given to prevent this happen in the future.

【关键词】 手术室实习生晕厥原因
【Key words】 operating room trainee faint cause
  • 【文献出处】 护理与康复 ,Nursing and Rehabiltation Journal , 编辑部邮箱 ,2004年03期
  • 【分类号】R-4
  • 【被引频次】2
  • 【下载频次】89
节点文献中: 

本文链接的文献网络图示:

本文的引文网络