【摘要】：目的探討不同體位對(duì)腹腔鏡膽囊切除術(shù)(LC)患者術(shù)后惡心嘔吐(PONV)的影響。方法選擇2016年6-9月行LC的患者60例,分為觀察組和對(duì)照組,所有患者皆在全身麻醉下行腹腔鏡膽囊切除手術(shù),回病房后即刻對(duì)患者進(jìn)行評(píng)估,Steward評(píng)分均達(dá)6分。觀察組患者返回病房后立即給予半臥位,對(duì)照組患者返回病房后給予帶枕平臥位。觀察并記錄:兩組患者的年齡、性別、體質(zhì)量、手術(shù)時(shí)間、術(shù)中鎮(zhèn)痛藥物的使用情況,兩組患者PONV的發(fā)生情況。結(jié)果兩組患者的年齡、性別、體質(zhì)量、手術(shù)時(shí)間、術(shù)中鎮(zhèn)痛藥及用量比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05);兩組患者回病房后PONV的發(fā)生情況比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論 LC術(shù)后早期采取半臥位的體位干預(yù)護(hù)理可降低PONV發(fā)生率。
[Abstract]:Objective to investigate the effect of different postures on (PONV) in patients with postoperative nausea and vomiting after laparoscopic cholecystectomy (LC). Methods Sixty patients with LC from June to September 2016 were divided into observation group and control group. All patients underwent laparoscopic cholecystectomy under general anesthesia. The patients were evaluated immediately after returning to the ward. The Steward score was 6. The patients in the observation group were given half-lying position immediately after returning to the ward, while the patients in the control group were given the supine position with pillow after returning to the ward. Observation and record: age, sex, body mass, operation time, intraoperative analgesic drug use, and the occurrence of PONV in the two groups were observed and recorded. Results there was no significant difference in age, sex, body mass, operation time, intraoperative analgesics and dosage between the two groups (P0.05). Two groups of patients returned to the ward after the occurrence of PONV, the difference was statistically significant (P0.05). Conclusion early intervention nursing in semi-supine position after LC can reduce the incidence of PONV.
【作者單位】： 安徽醫(yī)科大學(xué)附屬巢湖醫(yī)院肝膽外科;安徽醫(yī)科大學(xué)附屬巢湖醫(yī)院麻醉科;
【分類號(hào)】：R473.6
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本文編號(hào)：2385256