80例老年耳鼻喉手术患者全麻术后卧位改良的临床效果  

Clinical efficacy on postoperative supine improvement of 80 elderly patients with ear nose and throat surgery under general anesthesia

作　　者：顾敏晖 朱海燕 

机构地区：[1]江苏省张家港市中医医院耳鼻喉科,江苏张家港215600 [2]江苏省张家港市中医医院手术室,江苏张家港215600

出　　处：《中西医结合护理（中英文）》2016年第3期82-84,共3页Journal of Clinical Nursing in Practice

摘　　要：目的分析老年耳鼻喉手术患者全麻术后卧位改良的临床效果。方法选择本院进行耳鼻喉手术治疗的80例老年患者,根据随机数字法将其分成对照组(40例)与研究组(40例)。研究组采取改良卧位,对照组采取传统体位。结果研究组患者发生不良反应的概率5.0%(2/40)显著低于对照组的42.5%(17/40),差异有统计学意义(P<0.05)。研究组患者术后10 min、2 h血氧饱和度恢复情况均显著优于对照组,差异有统计学意义(P<0.05)。结论老年耳鼻喉手术患者全麻术后卧位改良可促进其伤口积血渗出,减少术后不良反应的产生,使呼吸保持通畅,有利于患者康复。Objective To study clinical efficacy on postoperative supine improvement of 80 elderly patients with ear nose and throat surgery under general anesthesia. Methods A total of 80 elderly patients with ear, nose and throat surgery were divided into control group （40 cases） and study group （40 cases） according to randomized double blind method. The patients in the study group adopt- ed improved horizontal position while the control group adopted the traditional posture. Results Ad- verse reaction rate in the study group was 5.0% （2/40）, which was significantly lower than 42.5% （17/40） in the control group （ P 〈 0.05 ）. Recovery of blood oxygen saturation of patients in the study group after 10 minutes, 2 hours was significantly better than that in the control group （ P 〈 0.05 ）. Conclusion Postoperative supine improvement in elderly patients with ear, nose, and throat surgery under general anesthesia can promote blood effusion of wound, reduce postoperative adverse reaction, and maintain smooth breathing so as to help the patientg early recovery.

关 键 词：老年耳鼻喉手术 全麻 卧位改良 

分 类 号：R614[医药卫生—麻醉学]