全麻下行腹部手术后6h内改良低半卧位对患者舒适度的影响

摘要

Objective To discuss effect of improved low semi-recumbent within 6h after anesthesia downward abdominal surgery on patients comfort. Methods In this study,a prospective study,60 cases with anesthesia downward abdominal surgery,being awake and stable vital signs,were divided randomly into study group and control group,each of 30 cases.Study group was nursed by improved low semi-recumbent within 6h after surgery,and control group was nursed by pillow supine.Incidence of vomiting,dizziness,lumbar pain,abdominal pain,breathing,heart rate, Ⅰ pressure sores of two groups was compared. Results R > 20bp/min,lumbar pain, Ⅰ pressure sores incidence of study group were lower than control group(P < 0.05).The degree of pain for 1-3 proportion of study group was higher than control group,and 7-10 proportion was lower than control group(P < 0.05). Conclusion Comfort is improved with improved low semi-recumbent within 6h after anesthesia downward abdominal surgery,worthy of clinical promotion.%目的：探讨全麻下行腹部手术后6h 内改良低半卧位对患者舒适度的影响。方法本研究采用前瞻性研究，选择全麻下行腹部手术治疗患者60例为研究对象，患者术后清醒并且生命体征平稳，随机分为研究组和对照组各30例。研究组术后6h 采用改良半卧位，对照组采用去枕平卧位。比较两组患者呕吐、头晕、腰肌酸痛、腹部疼痛、呼吸、心率、Ⅰ期压疮发生率情况。结果研究组呼吸＞20次/min、腰部酸痛、Ⅰ期压疮的发生率现在低于对照组（P ＜0.05）。研究组疼痛程度为1～3分的比例显著高于对照组，疼痛程度为7～10分的比例显著低于对照组（P ＜0.05）。结论全麻下行腹部手术后6h 内改良低半卧位能够增加患者的舒适度，值得临床推广。