汤灵宇 1陈顺利 1蔡璐瑶 2陈颖异 2宋建英 2胡黎欣 2郑思琳1
作者信息
- 1. 西南医科大学附属医院,四川 646000
- 2. 西南医科大学
- 折叠
摘要
Abstract
Objective:To explore the influence of different postures on the patient's breathing and comfort during anesthesia recovery after laparoscopic cholecystectomy were studied.Methods:A total of 236 patients who undergoing laparoscopic cholecystectomy(LC)were selected by convenience sampling.We divided the patients into four groups:group A(supine),group B(15° semi-recumbent),group C(30° semi-recumbent)and group D(progressive semi-recumbent)randomly,59 cases in each group.Patients'SPO2,RR,Peak expiratory flow rate(PEF),forced expiratory volume(FVC),forced expiratory volume in one second(FEV1),FEV1/FVC,maximum inspiratory pressure(MIP),maximum expiratory pressure(MEP),respiratory complications,comfort was compared among four groups.Results:The values of PEF,FVC,FEV1,MIP and MEP in group B,C and D at 1 hour and 2 hours after the laryngeal mask was removed were higher than A group(P<0.05).FEV1/FVC of group B,group C and group D were higher than supine group at 2 hours after the laryngeal mask was removed(P<0.05).The MEP value of group C was higher than group B at 2 hours after the laryngeal mask was removed.The MIP and MEP values of the group D were higher than group B at 2 hours after the laryngeal mask was removed(P<0.05).Kolcaba Comfort scores of group B,group C and group D were higher than group A(P<0.05).The score of Kolcaba Comfort Scale in group D was higher than that in group A,B and C(P<0.05).There was no statistical significance in SPO2,RR,respiratory complications,blood pressure,mean arterial pressure,body temperature,pain level,level of wakefulness between the four groups(P>0.05).Conclusion:15° semi-supine position,30° semi-supine position and progressive semi-supine position after laryngeal mask removal after LC is conducive to lung ventilation and respiratory mechanical effect,and can obtain better comfort.The 30°semi-decubitus position and progressive semi-decubitus position are most conducive to the work of respiratory muscle,and the comfort of progressive semi-supine position is the best.关键词
腹腔镜胆囊切除术/麻醉恢复期/体位/呼吸/舒适度/护理Key words
laparoscopic cholecystectomy,LC/anesthesia recovery period/position/breathing/comfort/nursing
