普外科麻醉术后不同护理体位的探讨

Disoussion on Different Postures of Post-anesthesia Nursing Care for General Surgery

目的探讨并选择普外科麻醉术后患者的合理体位。方法选取全身麻醉（清醒且生命体征正常）、硬膜外麻醉、颈丛麻醉术后患者各120例，均随机分为对照组和实验组，对照组患者术后去枕平卧6h后改半卧位，实验组患者术后直接给半卧位或低半卧位，进行对照比较。结果各组患者生命体征均平稳，对照组患者头痛、眩晕、呕吐发生率较实验组无统计学差异（P〉0．05）而体位不适感对照组明显高于实验组（P〈0．01）。结论普外科患者麻醉术后直接选择半卧位或低半卧位可以提高舒适感，有利于患者的恢复。

Objective To discuss and choose an reasonable posture for post-anesthesia patients suffered general surgical operation. Methods every 120 postoperative patients with general anesthesia（ the patients were awake and get normal vital sign）, epidural anesthesia or cervical anesthesia were randomly divided into control group and experiment group. Semi-reclining position were adopted after being taken horizontal position for 6 hours in the control group, and the semi-reclining position were directly taken in the experiment group after operation and the comparison was made between the two groups. Results Vital signs of all patients were smooth, and there was no statistic difference in the incidence rate of headache, dizziness and vomiting between two groups （P〉 0.05）, but the malaise feeling was severe in control group （P〈 0.01）. Conclusion Directly take semi-reclining position can increase comfortableness, and is helpful to the recovery of post-anesthesia patients suffered genera/surgical operation.