联合麻醉下膝关节术后去枕平卧6h两种起点计时的临床观察  

Clinical observation on two beginning time of 6 hours’ pillow-free horizontal position for patients after knee joint operation under combined spinal epidural anesthesia

作　　者：陈秀云[1] 林晓燕[1] 王欣[1] 刘研[1] 

机构地区：[1]北京大学第三医院

出　　处：《护理研究（上旬版）》2009年第1期19-21,共3页Chinese Nursing Researsh

摘　　要：[目的]比较联合麻醉下膝关节术后平卧6h两种起点计时方法不良反应和病人舒适程度的差异。[方法]选取北京市某三级甲等医院运动医学病房联合麻醉下膝关节手术病人200例,将其分为两组,对照组自病人回到病房后作为起点去枕平卧6h,观察组为麻醉拔出硬膜外导管后作为起点去枕平卧6h,采用访谈法和观察法了解两组病人术后不良反应与不舒适情况。[结果]两组病人术后不良反应发生率差异无统计学意义(P>0.05),而观察组病人的不舒适程度明显低于对照组(P<0.05)。[结论]以麻醉拔管时间作为术后去枕平卧6h的起点,不会增加不良反应的发生率,并可提高病人的舒适度。Objective：To compare the difference of adverse reactions and comfort degree between two group patients with different beginnings of 6 hours＇ horizontal position after knee joint operation under combined spinal epidural anesthesia （CSEA）. Methods： A total of 200 patients from sports medicine ward of a third - grade class - A hospital in Beijing city undergoing knee joint operation under CSEA were selected and divided into two groups. Patients of control group kept 6 hours＇ horizontal position from the time they returned to their ward. Patients of test group counted the time right after anesthesia extubation. By adopting face - to - face interview and observation method, both post- operative adverse reactions and discomforts of the two group patients were compared. Results：There was no statistical difference in terms of the postoperative adverse reaction between the two groups （P〉 0. 05）. However,the discomfort degree of test group cases was lower than that of control group（P〈0.05）. Conclusion：To begin with extubation of anesthesia as 6 hours＇ horizontal position counting do not increase adverse reactions of patients and could bring patients more comfort.

关 键 词：联合麻醉 膝关节术后 去枕平卧 头痛 舒适度 

分 类 号：R473.6[医药卫生—护理学]