不同体位对腹腔镜胆囊切除术患者术后恶心呕吐的影响
发布时间：2018-12-18 03:28
【摘要】：目的探讨不同体位对腹腔镜胆囊切除术(LC)患者术后恶心呕吐(PONV)的影响。方法选择2016年6-9月行LC的患者60例,分为观察组和对照组,所有患者皆在全身麻醉下行腹腔镜胆囊切除手术,回病房后即刻对患者进行评估,Steward评分均达6分。观察组患者返回病房后立即给予半卧位,对照组患者返回病房后给予带枕平卧位。观察并记录:两组患者的年龄、性别、体质量、手术时间、术中镇痛药物的使用情况,两组患者PONV的发生情况。结果两组患者的年龄、性别、体质量、手术时间、术中镇痛药及用量比较,差异无统计学意义(P0.05);两组患者回病房后PONV的发生情况比较,差异有统计学意义(P0.05)。结论 LC术后早期采取半卧位的体位干预护理可降低PONV发生率。
[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.
【作者单位】： 安徽医科大学附属巢湖医院肝胆外科;安徽医科大学附属巢湖医院麻醉科;
【分类号】：R473.6
，
本文编号：2385256
[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.
【作者单位】： 安徽医科大学附属巢湖医院肝胆外科;安徽医科大学附属巢湖医院麻醉科;
【分类号】：R473.6
，
本文编号：2385256
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