术前不同转运方式对妇科手术患者血流动力学的影响

摘要

目的 探讨推床、轮椅、步行三种术前转运方式对妇科手术患者血流动力学的影响,为临床选择恰当的术前转运方式提供依据.方法 将75例ASA 1～2级择期妇科手术患者随机分成推床组、轮椅组与步行组各25例,分别采用推床、轮椅、步行三种转运方式将患者送至手术室,在患者离开病房时(转运前)及到达手术室安静休息5 min时(转运后)测量患者的收缩压、舒张压及心率.结果 转运后三组收缩压较转运前显著升高(P<0.05),步行组心率显著高于推床组与轮椅组(P<0.05).结论 术前步行入手术室有可能增加患者的循环负荷与耗氧量.临床上应根据患者的实际情况选择恰当的转运方式,从血流动力学变化及医患满意度来看,轮椅转运法较适宜.%Objective To investigate the effect of transport methods on gynecological surgical patients' hemodynamics and to find out an optimal transport method for gynecological surgical patient. Methods Totally, 75 patients with ASA Ⅰ- Ⅱ scheduled for gynecological surgery were equally randomized into 3 groups, and 2 groups were transported with wheeled stretcher and wheel-chair respectively. The third group entered the operating room from the ward on foot. Systolic blood pressure(SBP), diastolic blood pressure(DBP) and heart rate(HR) were measured before transport and 5 minutes after entering operating room. Re-sults The SBP after transport was significantly higher than that before transport in all groups(P<0.05) ; HR of walking group after transport was significantly higher than that of wheeled stretcher group and wheelchair group(P<0.05). Conclusion Pa-tients entering the operating room on foot could increase circulatory burden and oxygen consumption. In consideration of hemo-dynamics and patient satisfaction, the optimal transport way is with wheelchair.