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全麻腹部術后早期半臥位和康復關系的探討
摘要:目的:探討全麻腹部術后早期半臥位和康復的關系。方法:隨機將80例全麻腹部手術患者分為二組,術后早期分別采取半臥位和平臥位,對術后各項康復指標進行監(jiān)測和對照。結果:早期半臥位對全麻腹部手術后患者在呼吸、循環(huán)、引流、舒適度等方面有明顯的作用。結論:早期半臥位能全面提高全麻腹部術后的康復質量。關鍵詞:全麻腹部手術 早期半臥位 康復
The relation between semi-position in early stage and recovery after abdominal operation under general anesthesia Zheng wenya Wang jian.Department of General Surgery, Renji Hospital Affiliated to Shanghai Second Medical University, Shanghai 200001
Abstract: Purpose: To study the relation between semi-position in early stage and recovery after abdominal operation under general anesthesia. Methods: There were eighty consecutive patients in this study who received abdominal operations under general anesthesia. They were classified into two groups in random, who were in semi-position or in supine respectively and were observed through the monitoring and comparison of some post-operative recovery parameters. Results: Semi-position in early stage has positive effect on the patients' respiration, circulation, drainage and comfort etc after abdominal operation under general anesthesia. Conclusion: Semi-position in early stage can improve the quality of recovery after abdominal operation under general anesthesia in some aspects.
Key words: Abdominal operations under general anesthesia Semi-position in early stage Recovery
隨著全身麻醉技術越來越多的應用于腹部手術,對術后的康復質量問題也日益受到人們的重視。近年來,我院普外科經過臨床實踐觀察,改變了以往全麻腹部術后常規(guī)去枕平臥六小時的方法,采取早期半臥位,使術后患者的康復質量得到了改善和提高。同時,進一步證實了早期半臥位對全麻腹部術后患者在呼吸、循環(huán)、引流、舒適度等方面的積極作用。下面將我們的研究報告如下。
1. 資料與方法
1.1. 臨床資料:選擇1999.9至2000.5全麻腹部手術患者80例,術前都無嚴重的心、肺等臟器疾病,年齡25—70歲,平均年齡56.7歲;男性32例,女性48例。其中膽道手術32例,胃手術26例,結直腸手術17例,門高壓手術3例,胰腺手術2例 。
1.2. 方法:隨機將80例患者分為實驗組和對照組,每組40例,二組在年齡、性別、手術方式上比較沒有差異
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