目的:探讨术后不同卧位对腰硬联合麻醉手术患者的影响.方法:200例择期行腰硬联合麻醉手术患者按数字随机表法分为观察组和对照组,每组各100例.观察组术后采用垫枕卧位,对照组采用去枕平卧位.结果:观察组术后心率、血压与对照组比较,差异均无统计学意义(P>0.05);观察组术后并发症发生率为7.0%(7/100),对照组为23.0%(23/100),两组比较差异有高度统计学意义(χ2=10.04,P＜0.01);观察组腰痛发生率为4.0%(4/100),对照组为12.0%(12/100),两组比较差异有统计学意义(χ2=4.35,P＜0.05);观察组无不适82例,对照组53例,两组比较差异有高度统计学意义(χ2=10.04,P＜0.01).结论:术后垫枕卧位能显著降低术后并发症,且更具人性化,患者舒适度明显提高,更利于术后康复,只要病情允许,应予以优先考虑.%Objective: To investigate the effects of postoperative different lying position to combined spinal epidural anesthesia (CSEA) patients. Methods: 200 patients were taked CSEA and assigned into observation group and control group with 100 cases in each group randomly. Patients of the observation group lied supine with bolster, the control group were taked supine position by removing pillow. Results: The heart rate, blood pressure in observation group compared with the control group, there were no significant difference between two groups (P＞0.05); the postoperative complication rate of observation group was 7.0％ (7/100), the control group was 23.0％ (23/100), the difference of two groups was significant (P＜0.01); occurrence of low back pain in the observation group was 4.0％ (4/100), the control group was 12.0％ (12/100), the difference was statistically significant (P＜0.05); there were 82 cases with no discomfort feel in observation group, but 53 cases in control group feel discomfort, the difference was statistically significant (P＜0.01). Conclusion: Postoperative lie supine with bolster can significantly reduce the postoperative complications, and more humane, comfort level patients are significantly improved, more conducive to rehabilitation after surgery. If patient's conditions allow, this method should be given priority.
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