无痛纤维支气管镜检查后不同卧位对患者的影响  

Effects of Different Decubitus Positions after Painless Bronchofibroscope Examination on Patients

作　　者：夏爱芳 XIA Aifang(The First Affiliated Hospital of Xiamen University Tong’an District,Xiamen 361100,China)

机构地区：[1]厦门市第一医院同安院区,福建厦门361100

出　　处：《中外医学研究》2023年第14期165-168,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：福建省卫生计生委科技计划项目(201948761B)。

摘　　要：目的:探讨无痛纤维支气管镜(bronchofibroscope,BFS)检查后不同卧位对患者的影响。方法:选取2019年1月—2021年12月厦门市第一医院同安院区收治的465例无痛BFS检查患者。根据双盲随机法将其分为对照组(230例)和研究组(235例)。两组均实施无痛BFS检查。研究组检查后给予半坐卧位,对照组检查后给予仰卧位。观察两组检查前、检查后2 h时生命体征,检查后2 h舒适度,并发症。结果:检查后2 h时,两组舒张压(diastolic blood pressure,DBP)、收缩压(systolic blood pressure,SBP)、呼吸频率(respiration rate,RR)比较差异无统计学意义(P>0.05),研究组脉搏低于对照组,血氧饱和度(pulse oxygen saturation,SpO_(2))显著高于对照组,差异有统计学意义(P<0.05)。检查后2 h,研究组社会文化、心理、生理、环境舒适度评分均显著高于对照组,差异有统计学意义(P<0.05)。研究组并发症发生率为5.11%(12/235),略低于对照组的7.39%(17/230),比较差异无统计学意义(P>0.05)。结论:无痛BFS检查后指导患者采取半坐卧位,可减轻患者不适,提升其舒适度和SpO_(2),且不会增加并发症,利于其恢复,但还需重视卧位护理。Objective:To explore the effects of different decubitus positions after painless bronchofibroscope(BFS)examination on patients.Method:A total of 465 patients with painless BFS examination admitted to the First Affiliated Hospital of Xiamen University Tong’an District from January 2019 to December 2021 were selected.According to the double-blind random method,they were divided into control group(230 cases)and study group(235 cases).Painless BFS examination was performed in both groups.The study group was given semi-fowler position after examination,and the control group was given supine position after examination.The vital signs of the two groups were observed before and 2 h after the examination,and the comfort level 2 h after the examination and complications were observed.Result:At 2 h after examination,there were no significant differences in diastolic blood pressure(DBP),systolic blood pressure(SBP)and respiration rate(RR)between the two groups(P>0.05),the pulse in the study group was lower than that in the control group,pulse oxygen saturation(SpO_(2))was significantly higher than that in the control group,and the differences were statistically significant(P<0.05).At 2 h after the examination,the scores of social culture,psychological and physical,environment comfort in the study group were significantly higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the study group was 5.11%(12/235),which was slightly lower than 7.39%(17/230)in the control group,and the difference was not statistically significant(P>0.05).Conclusion:After painless BFS examination,the patients should be guided to take the semi-fowler position,which can reduce the discomfort of patients,improve their comfort level and SpO_(2),and will not increase complications,which is conducive to their recovery.However,attention should be paid to the nursing in the lying position.

关 键 词：卧位 无痛纤维支气管镜 舒适度 生命体征 

分 类 号：R562.2[医药卫生—呼吸系统]