全身麻醉术后患者早期改良体位的研究

Research of improved early postoperative position in patients after general anesthesia

目的:探讨全身麻醉术后患者早期采取改良体位的必要性。方法:选取全身麻醉术后患者120例,随机分为对照组和实验组,对照组患者术后按传统方法采用去枕平卧位6小时,试验组患者术后采用早期半卧位或头颈部垫枕自由卧位,术后24小时内进行观察比较。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意义(P>0.05);而体位不适感和紧张情绪对照组明显高于实验组(P<0.05)。结论:全身麻醉术后患者早期采取改良体位可减轻患者术后不适,预防颈肩痛和腰肌酸痛,缓解紧张情绪,增加患者舒适度,促进患者康复。

Objective：To explore the necessity to administrate improved early postoperative position in patients after general anesthe- sia. Methods ：120 cases of patients after general anesthesia were randomly divided into the controlled group and the experimental group. The patients of the control group lied in traditional supine position without pillow for 6h postoperatively, while the patients of experimental group with early semi -recumbent or head and neck above pillow in free supine position. All the patients were observed and compared within 24h.. Results： Vital signs of patients in each group were stable . the incidence of headache, dizziness, vomiting between the con- trolled group and experimental group was not statistically significant （ P 〉 0.05 ） ; but the postural discomfort and anxiety of the con- trolled group was significantly higher than the experimental group （ P 〈 0.05 ）. Conclusion ： Administration of the improved early postop- erative position in patients After general anesthesia could reduce postoperative discomfort , prevent the neck and shoulder pain and psoas muscle soreness , relieve tension , increase comfort and promote the rehabilitation of patients.