全身麻醉下行胸部肿瘤手术术后不同体位对患者的影响

发布时间：2018-01-03 12:21

本文关键词：全身麻醉下行胸部肿瘤手术术后不同体位对患者的影响　出处：《当代医学》2016年23期 　论文类型：期刊论文

【摘要】：目的比较全身麻醉(全麻)下肿瘤患者胸部手术术后两种不同体位对患者术后恢复的影响。方法将行常规全麻手术的患者230例随机分为2组,观察组(130例)全麻清醒后回病房不予去枕平卧位,即给予低半卧位,将床头逐步摇高到30°~45°及给予低矮软枕(高约10 cm);对照组(100例)常规全麻清醒后仍去枕平卧6 h,其他治疗、护理措施2组相同。记录2组的主观舒适度及生命体征、头晕、呕吐情况。结果 2组患者术后生命体征平稳,头晕、呕吐发生的次数比较差异无统计学意义。术后观察组患者心理及生理舒适度好于对照组,观察组心理及生理舒适度分别为(58.46±4.24)、(49.56±4.17),对照组分别为(38.92±4.55)、(30.43±3.04),2组数据比较差异有统计学意义(P0.05)。结论全身麻醉下行胸部手术患者在清醒、生命体征平稳的前提下,采用低半卧位较去枕平卧位能减轻患者术后不适,增加患者舒适度,有利于提高护理质量。
[Abstract]:Objective to compare the effects of two different postures on postoperative recovery in patients with tumor under general anesthesia (general anesthesia). Methods 230 patients undergoing general anesthesia were randomly divided into two groups. The observation group (130 cases) was given low supine position, the head of the bed was gradually rocked to 30 掳45 掳and given low soft pillow (about 10 cm high). In the control group, 100 patients were still lying on the pillow for 6 hours after general anesthesia. Other treatments and nursing measures were the same. The subjective comfort, vital signs and dizziness of the two groups were recorded. Results there was no significant difference in the occurrence of dizziness and vomiting between the two groups. The psychological and physiological comfort of the patients in the observation group was better than that in the control group. The psychological and physiological comfort of the observation group was 58.46 卤4.24, 49.56 卤4.17, respectively, while that of the control group was 38.92 卤4.55). The difference between the two groups was statistically significant (P 0.05). Conclusion the patients undergoing thoracic surgery under general anesthesia are awake and have stable vital signs. The lower half supine position can reduce the discomfort and increase the comfort of the patients, which is helpful to improve the nursing quality.
【作者单位】：本溪市中心医院胸外科病房;
【分类号】：R473.73
【正文快照】： 传统上全身麻醉(全麻)手术患者,术后患者常需去枕平卧6 h,其目的主要是为了让患者减少头痛,减少呼吸系统梗阻,防止患者发生呕吐,导致吸入性肺炎的发生。近年来有关术后体位有着不同观点,有学者提出全麻术后应采用半卧位,认为去枕平卧呈过伸后仰位,不仅不利于术后患者呼吸系统

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