摘要
目的探讨全身麻醉胸部术后早期半卧位对患者生理机能康复及舒适度的影响。方法选择2006年1月—2007年2月全身麻醉+硬膜外麻醉胸部手术患者100例,随机分为实验组50例和对照组50例。实验组术后2h给予半卧位,对照组按照常规术后平卧6h。于术后2h和4h分别测定两组患者的心率、血压、血氧饱和度(SpO2),评定胸腔引流和肺不张的发生情况,比较两组患者的舒适度。结果两组患者术后SpO2、胸腔引流量、肺不张发生率和舒适度差异有统计学意义(P<0.05)。结论早期半卧位全身麻醉胸部手术后患者在呼吸、循环功能的恢复,提高患者术后生活质量。
Objective To study the effect of semisupine position in post thoracotomy patients on function and comfort degree. Methods One hundred patients undergoing thoracotomy by gene physical ral anesthesia combined with epidural block were randomly divided into experimental group （n = 50） and control group（n = 50）. Patients in experimental group were put in semisupine position 2 h after operation. Control group patients kept on supine position for 6 h. Heart rate, blood pressure, blood oxygen saturation （ SpO2 ） , amount of drainage from thoracic cavity were measured respectively at 2 h and 6 h after the operation. Incidence of pulmonary atelectasis and comfort degree were evaluated. Results There was a significant difference between the two groups in SpO2, amount of thoracic cavity drainage, incidence of pulmonary atelectasis and comfort degree. Conclusion Semisupine position is beneficial for rehabilitation for post thoracotomy patients, and helpful to improve their life quality after operation.
出处
《上海护理》
2008年第2期5-8,共4页
Shanghai Nursing
基金
复旦大学附属肿瘤医院护理科研基金资助项目(38-3)
关键词
胸部手术
全身麻醉
半卧位
Thoracotomy
General anesthesia
Semisupine position
