摘要
目的:探讨术后6 h内不同卧位方式对胸腰椎后路手术患者的影响。方法:将180例胸腰椎后路术后6 h内的患者随机分为A、B、C三组各60例,A组取去枕平卧、B组取90°垂直侧卧、C组取45°斜坡侧卧,比较三组患者舒适度、引流量情况等。结果:三组术后2 h舒适度评分比较差异无统计学意义(P>0.05);术后4 h舒适度评分B、C组高于A组(P<0.01);术后6 h舒适度评分B、C组高于A组(P<0.05,P<0.01),并且C组高于B组(P<0.05)。术后6 h内B、C组引流量多于A组(P<0.05);三组拔管前总引流量比较差异无统计学意义(P>0.05)。结论:胸腰椎后路术后6 h内采用侧卧位较去枕平卧位更舒适、安全,而斜坡侧卧位较垂直侧卧位更为舒适,临床胸腰椎后路手术患者宜采用斜坡侧卧位。
Objective：To investigate the effects of＇different lying position in 6 h after operation on the patients with thoracic and lumbar spine surgery. Methods： A total of 180 patients of thoracic lumbar spine surgery within 6 h were randomly divided into A, B, C three groups, 60 cases in each group. Group A lay down without pillow, and group B lay down with taking 90°vertical side, while group C lay down with taking 45°slope side. Then three groups＇ comfort, drainage and other conditions were compared. Results：There was no statistical signifi- cance between three groups in comfort scores after operation 2 h（P 〉0.05）. Postoperative 4 h comfort scores of group B and C were signif- icantly higher than that of group A（P 〈 0.01 ）. Postoperative 6 h comfort scores of group B and C were significantly higher than group A （ P 〈 0.05,P 〈 0.01 ）, and group C was higher than group B （ P 〈 0.05 ）. The drainage volume of group B and C were significantly more than group A（P 〈 O. 05 ）within 6 h after operation, and there was no significant difference in drainage volume between the three groups before extubation （ P 〉 0. 05 ）. Conclusion ： The lateral position is more comfortable and safe than the supine position without pillow for pos- terior thoracic lumbar patients within 6 h after operation,while the slope lateral position is more comfortable than the vertical lateral posi- tion. Therefore, the clinical thoracic posterior lumbar surgery patients should adopt the slope lateral position.
出处
《齐鲁护理杂志》
2016年第22期4-5,共2页
Journal of Qilu Nursing
基金
2014年广东省建设中医药强省科研课题(编号:20141111)
关键词
术后6
H
卧位
胸腰椎后路手术
护理
Postoperative 6 h
Lying position
Posterior thoracic surgery
Nursing
