全麻腹部手术对呼吸的影响和护理对策  

Comparison of the Influence on Respiration in Various Abdominal Operations under General Anesthesia and it's Nursing Strategy

作　　者：郑文雅[1] 王玉梅[1] 

机构地区：[1]上海第二医科大学附属仁济医院,200001

出　　处：《上海护理》2001年第1期14-16,共3页Shanghai Nursing

摘　　要：通过对50例全麻上、下腹部手术患者术后呼吸指标和临床症状的观察、比较、分析,发现二组在动脉二氧化碳分压、氧饱和度、肺活量方面存在显著差异,在胸闷、气促、呕吐、呃逆症状程度量化比较上存在明显差异。上腹部手术更易对呼吸造成不良影响,主要影响因素有:膈肌的刺激、切口疼痛、神经反射刺激、肺动脉压增高等。并对此制定出有效的护理措施,减少了肺部并发症。Aim Evoluating the respiratory affection of the abdominal operation patients caused by general aneshe-sia. Methods Compared the respiratory indices and clinical symptoms of 50 patients who undertook upper or lower abdominal operation. Results There is significant differnces between the upper abdominal operation group and the lower group on the respiratory indices such as PaCO2, SO2 and vital capacity and on clinical symptoms like respiratory difficulty, panting, vomiting hiccup. Conclusions Upper abdominal operation may cause more respiratory affection to patient than lower abdominal operation. Main factors are stimulation to diaphragm, pain of incision. neuroreflection and increase of pulmonary artery pressure. Proper nursing mangement could decrease respiratory complications of general antsthesia in abdominal operation patients.

关 键 词：全麻 腹部手术 呼吸 影响因素 护理 

分 类 号：R473.6[医药卫生—护理学]