老年耳鼻喉手术患者全麻术后卧位改良19例临床分析  

Clinical Analysis of 19 Elderly Patients with ENT Surgery Anesthesia Postoperative Supine Position Improvement

作　　者：刘小云 

机构地区：[1]江西省宜春市人民医院,江西宜春336000

出　　处：《中国医学创新》2013年第35期114-115,共2页Medical Innovation of China

摘　　要：目的:对老年耳鼻喉手术患者全麻术后卧位改良的应用效果进行分析探讨。方法:选取本院2009年6月-2012年5月收治的进行了全麻手术的38例耳鼻喉老年患者,按照随机数字表法将其分为改良组和对照组各19例。其中对照组采取传统体位,改良组在全麻结束后用改良卧位,记录并比较两组效果。结果:改良组不良反应发生率5.3%,明显低于对照组的47.4%,差异具有统计学意义(P<0.05)。改良组患者术后10 min、2 h血氧饱和度恢复情况均优于对照组,差异均有统计学意义(P<0.05)。两组患者二氧化碳分压情况比较差异无统计学意义(P>0.05)。观察组患者情绪评分和依从性评分均明显优于对照组,差异均有统计学意义(P<0.05)。结论:老年耳鼻喉手术患者全麻术后卧位改良能帮助患者伤口积血渗出,保持呼吸畅通,提高治疗效果,降低不良反应的发生,放松患者心情,提高患者配合程度,有助于其术后恢复。Objective：To analyze the application effect of elderly ENT surgery with general anesthesia operation postoperative lying position improved.Method：Thirty-eight elderly patients who were treated with the general anesthesia surgery from June 2009 to May 2012 were selected,they were randomly divided into the improved group and the control group,19 cases in each group.The control group was treated with the traditional position, the improved group after general anesthesia was treated with improved decubitus,the effects of two groups was recorded and compared.Result：The incidence of adverse reactions of the improved group were significantly lower than those in control group,the differences were statistically significant （P〈0.05）.The blood oxygen saturation of the improved group were better than those in control group in 10 min and 2 h,the differences were statistically significant（P〈0.05）.There was no statistically significant in carbon dioxide differential pressure（P〉0.05）.The improved group patient＇s mood was better than the control group,compliance was higher,the differences were statistically significant（P〈0.05）.Conclusion：The old ENT patients with general anesthesia operation postoperative supine improvement can help patients wound blood exudation,maintain smooth breathing,improve the therapeutic effect,reduce the occurrence of adverse reactions,relax mood,improve patients patients with the degree,contribute to the postoperative recovery.

关 键 词：耳鼻喉手术 卧位改良 临床分析 

分 类 号：R614[医药卫生—麻醉学]