不同体位对心脏术后气管插管患者生命体征的影响  

Effects of Different Postures on Vital Signs for Patients with Endotracheal Tube After Heart Operations

作　　者：张伟英[1] 顾晖[1] 沈秀群[1] 赵枫[1] 沈美芳[1] 

机构地区：[1]长海医院胸心外科ICU,上海200433

出　　处：《护理学杂志》2005年第16期3-5,共3页

摘　　要：目的研究体位交替更换对心脏术后气管插管患者生命体征的影响,了解其可行性,以确保体位护理在此类患者中的有效实施。方法对35例气管插管时间>24h的心脏手术后患者于清醒后实施半卧位,左、右侧卧位各1h交替及晨、晚间仰卧位各1h的体位护理,比较不同体位HR、SBP、SaO2值及不适情况。结果不同体位对HR、SBP无显著影响(均P>0.05);半卧位,左、右侧卧位即刻及30min时SaO2值均比仰卧位高(均P<0.05);半卧位和左、右侧卧位不同时间SaO2值比较,差异无显著性意义(均P>0.05)。不适症状除腰痛外,伤口胀痛、胸闷和紧张发生率仰卧位均显著高于其他卧位(均P<0.05)。结论体位改变对患者的生命体征无负面影响,可促进肺氧合功能,增加患者舒适度。Objective To investigate the effects of different postures on vital signs of patients with endotracheal tube after heart operations and to ensure the implementation of posture nursing care in the patients. Methods Thirty-five patients with endotracheal tube for over 24 hours after heart operation were made to assume semi-reclining position, left or right side-tying position for 1 hour respective and supine position for 1 hour at morning and evening. The HR, SBP, SaO2 and comfort for different positions were observed and compared. Results There were no significant differences in HR and SBP among the three different postures （P〉0. 05 for all）. SaO2 with semi-reelining and sidelying position at 0 and 30th rain was higher than that of supine position （P〈0.05 for all）. The patients with semireclining and lateral position had lower level of discomfort, including wound pain, chest tighmess, and nervousness, compared with those with supine position. Conclusion Posture change has no negative effects on the vital signs of the patients with endotracheal tube after heart operation and it can promote oxygenation of lung and increase the level of comfort of the patients.

关 键 词：心脏手术 体位更换 生命体征 气管插管 

分 类 号：R473.6[医药卫生—护理学]