全身麻醉、硬膜外麻醉下腹部术后体位的改良探讨  

Study on improved position of post-anesthesia nursing care for abdominal operation

作　　者：林海清[1] 肖艳玲[1] 陈丽芬[1] 

机构地区：[1]温州医学院附属第一医院肝胆外科,浙江325000

出　　处：《中国急救复苏与灾害医学杂志》2012年第12期1116-1118,共3页China Journal of Emergency Resuscitation and Disaster Medicine

摘　　要：目的探讨全身麻醉、硬膜外麻醉下行腹部手术后6h内适宜体位。方法选择腹部手术后清醒且生命体征平稳的患者200例，分为对照组（n=100）和实验组（n=100），。实验组采用头颈下垫枕、头部逐渐抬高10°～45°的改良低半卧位，对照组采用传统去枕平卧体位。监测两组头痛、呕吐、呼吸急促、腰酸、腹部疼痛并进行比较。结果两组患者生命体征均平稳，实验组与对照组头痛、呕吐发生率差异无统计学意义（P〉0．05）；呼吸急促、腰酸、腹部疼痛程度发生率差异均有统计学意义（P〈0．05）。结论早期低半卧位较去枕平卧位能减轻患者增加患者舒适度，有助于提高护理质量。Objective To explore suitable position within 6 hours after abdominal operation under general anesthesia and epidural anesthesia. Methods A total of 200 patients who were awake after abdominal operation with stable vital signs were randomly divided into experimental group （n=100） and control group （n= 100）. The modified semi-reclining position with head-neck pillow and gradual head elevated by 10 to 45 degrees were adopted in the experimental group, while traditional recumbent position without pillow was offered for the control group. The incidence of headache, vomiting, dyspnea, soreness and abdominal pain were evaluated and compared between the two groups. Results Vital signs of patients in the two groups were smooth with no significant difference found in the incidence rate of headache and vomiting （P〉0.05）, while the symptoms like dyspnea, soreness and abdominal pain reflected severer in the control group （P〈0.05）. Conclusion Comparing to traditional recumbent position without pillow, the modified semi-reclining position may increase patients＇ comfort level, facilitate nurses to provide a better service after abdominal operation.

关 键 词：麻醉 消化系统外科手术 手术后体位 改良 

分 类 号：R47[医药卫生—护理学]