玻璃体切割联合腔内填充术后被迫卧位舒适度的比较  

Effect of position changes on patient comfort after vitrectomy combined with silicone oil or C3F8 tamponade

作　　者：张淑琴[1] 吴静芳[1] 熊静娟[1] 汤秀容[1] 

机构地区：[1]广东省佛山市第二人民医院眼科中心,佛山528000

出　　处：《临床护理杂志》2007年第3期2-3,共2页Journal of Clinical Nursing

摘　　要：目的提高玻璃体切割联合腔内填充术后病人被迫卧位期间的舒适程度。方法选择眼底外科术后病人38例,随机分为实验组(俯卧、坐俯卧和侧卧位交替)和对照组(俯卧位),每组19例,按常规方法采取被迫卧位,观察并记录卧位前后心率、呼吸变化及被迫卧位的舒适程度。结果两组卧位前后心率比较无显著性差异(P>0.05);对照组卧位后呼吸加快,与实验组比较有显著性差异(P<0.05);对照组不良反应发生率为78.9%,实验组为47.3%,两组舒适度比较有显著性差异(P<0.05)。结论俯卧位、坐俯卧位和侧卧位交替进行可减少病人不良反应,提高术后卧位期间的舒适程度。Objective To determine which position is more comfortable for patients following vitrectomy combined with silicone oil or C3F8 tamponade, in order to improve patient comfort after surgery. Methods 38 patients after vitrectomy were randomly divided into experiment group （using prone position, sitting-prone position and lateral decubitus position alternatively） and controlled group （using prone position alone）, with 19 patients （19 eyes） in each group. The heart rate and breath rate before and 4 hours after forced posture were observed and recorded, the occurrence of real-response of the two groups were also observed and compared. Results Breath rate after forced posture became faster in controlled group（P〈0. 05）. The occurrence of real-response in controlled group was 78.9% and 47.3% in experiment group. There have been significant differences with regard to patients comfort between the two groups（P〈：0.05）. Conclusions Alteration of prone position, sitting-prone position and lateral decubitus position could reduce the occurrence of real-response and improve patient comfort after vitrectomy combined with silicone oil or C3 F8 tamponade.

关 键 词：玻璃体切除术/护理 体位 

分 类 号：R776.4[医药卫生—眼科] R473.77[医药卫生—临床医学]