全麻腹部术后早期半卧位和康复关系的探讨

全麻腹部术后早期半卧位和康复关系的探讨

摘要：目的：探讨全麻腹部术后早期半卧位和康复的关系。方法：随机将80例全麻腹部手术患者分为二组，术后早期分别采取半卧位和平卧位，对术后各项康复指标进行监测和对照。结果：早期半卧位对全麻腹部手术后患者在呼吸、循环、引流、舒适度等方面有明显的作用。结论：早期半卧位能全面提高全麻腹部术后的康复质量。

关键词：全麻腹部手术 早期半卧位 康复 

     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 

  随着全身麻醉技术越来越多的应用于腹部手术，对术后的康复质量问题也日益受到人们的重视。近年来，我院普外科经过临床实践观察，改变了以往全麻腹部术后常规去枕平卧六小时的方法，采取早期半卧位，使术后患者的康复质量得到了改善和提高。同时，进一步证实了早期半卧位对全麻腹部术后患者在呼吸、循环、引流、舒适度等方面的积极作用。下面将我们的研究报告如下。

1. 资料与方法

1.1. 临床资料：选择1999.9至2000.5全麻腹部手术患者80例，术前都无严重的心、肺等脏器疾病，年龄25—70岁，平均年龄56.7岁；男性32例，女性48例。其中胆道手术32例，胃手术26例，结直肠手术17例，门高压手术3例，胰腺手术2例 。

1.2. 方法：随机将80例患者分为实验组和对照组，每组40例，二组在年龄、性别、手术方式上比较没有差异

[1] [2] [3] 

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