体外循环术后采用低坡卧位护理的临床价值

The clinical value of semi-reclining position for extracorporeal circulation patients after cardiac surgery

目的：探究低坡卧位护理在行体外循环术的患者术后早期的临床应用价值。方法：选取我院2012年1月至2015年1月在全麻诱导辅助体外循环下行心脏外科手术的845例患者随机分为研究组423例与对照组422例。对照组患者术后给予全麻术后常规护理,研究组患者在对照组的基础上给予术后早期低坡卧位护理。比较两组患者术后6 h内的呼吸循环功能、术后1~2 d生命体征的变化情况、术后气管插管和引流管的留置时间以及住院天数。结果：与对照组相比,研究组患者术后6 h Sp O2异常以及术后1~2 d呼吸异常的发生率均较低,差异有统计学意义（P均〈0.05）;研究组患者术后气管插管和引流管的留置时间以及住院天数与对照组相比均明显减少,差异有统计学意义（P均〈0.001）。结论：早期低坡卧位护理对行体外循环术的患者有较好的临床疗效,值得在临床上推广。

Objective： To explore the clinical application value of semi-reclining position for extracorporeal circulation patients in the early period after cardiac surgery. Methods： From January 2012 to January 2015, a total of 845 cases undergoing cardiac surgical procedures at our hospital were randomly divided into 2 groups, treatment group（n=423） and control group（n=422）. The control group was given routine nursing after general anesthesia, and the treatment group received semi-reclining position based on routine nursing. Compared changes in after the operation of the respiratory cycle function in the 6 h as well as vital signs, postoperative tracheal intubation, drainage tube indwelling time and hospital days between the two groups of patients in 1~2 days. Result： The 6 h Sp O2 and respiratory abnormalities occur rate in postoperative 1~2 days in treatment group was lower than that in control group, and the difference was statistically significant（P〈0.05）; tracheal intubation and drainage tube indwelling time and hospitalization days in treatment group prominently decreased, the difference wasstatistically significant（P0.001）. Conclusion： Early low grade nursing care for patients with cardiopulmonary bypass surgery has a good clinical effect; it is worth of popularizing in clinical practice.