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自由体位对硬膜外麻醉腹部术后患者舒适度的影响
引用本文:周琼华,王海明,伍小敏. 自由体位对硬膜外麻醉腹部术后患者舒适度的影响[J]. 解放军护理杂志, 2011, 28(1): 69-70
作者姓名:周琼华  王海明  伍小敏
作者单位:1. 杭州市第三人民医院,普外科,杭州,310009
2. 杭州市第三人民医院,麻醉科
摘    要:目的探讨自由体位对硬膜外麻醉腹部术后患者舒适度的影响。方法将行硬膜外麻醉腹部术后患者200例按手术单双日组和观察组各100例,对照组按常规去枕平卧位6 h;观察组按患者以往习惯协助其垫枕或去枕,按需协助患者取左侧卧位、右侧卧位或半卧位。观察术后1 d两组患者的头痛发生率、颈肩腰背不适感、切口渗血情况及术后尿潴留情况。结果两组患者头痛、切口渗血情况差异无统计学意义(P>0.05),颈肩腰背不适感及术后尿潴留情况两组比较差异有统计学意义(P<0.01)。结论硬膜外麻醉腹部术后患者在麻醉穿刺过程顺利、生命体征平稳情况下可采取自由体位,以改善患者术后舒适度。

关 键 词:硬膜外麻醉  腹部术后  去枕平卧位  自由体位  舒适度

Influence of Free Position on Patients' Comfort after Abdominal Surgery of Epidural Anesthesia
ZHOU Qiong-hua,WANG Hai-ming,WU Xiao-min. Influence of Free Position on Patients' Comfort after Abdominal Surgery of Epidural Anesthesia[J]. Nursing Journal of Chinese People's Liberation Army, 2011, 28(1): 69-70
Authors:ZHOU Qiong-hua  WANG Hai-ming  WU Xiao-min
Affiliation:ZHOU Qiong-hua1,WANG Hai-ming1,WU Xiao-min2(1.Department of General Surgery,No.3 People's Hospital of Hangzhou,Hangzhou 310009,China,2.Anesthesia Department,No.3 People's Hospital of Hangzhou)
Abstract:Objective To investigate free position's influence on patients' comfort after abdominal surgery of epidural anesthesia.Methods Based on the sequence of patients returning to wards,200 patients after epidural anesthesia abdominal surgery were equally randomized into the control group and the observation group.The patients in the control group maintained supined without pillow regularly for 6 hours.While the patients in the observation group were sent back to the wards and assisted with or without pillow in t...
Keywords:epidural anesthesia  after abdominal surgery  supine to the pillow  free position  comfort  
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