(1.1.5)--腰麻术后患者去枕平卧和垫枕自由卧位效果比较.pdfVIP

· · 222 Clinical 2018，V01．10，No．3 中国临床护理2018年5月第10卷第3期ChineseNursing，May 腰麻术后患者去枕平卧和垫枕自由卧位效果比较 of with withouta and Comparisonpatientssupineposition pillow freerecumbentwitha llowafter anaesthesia positionpi spinal 徐敏闻思嘉 作者单位：200040上海，上海市复旦大学附属华东医院 通信作者：徐敏，E—mail：Minda一829@163．com XUMin。，WEN toFudan 200040，China Sijia．HuadongHospitalAffiliated University，Shanghai author ‘Corresponding 【摘要】 目的 探讨蛛网膜下腔麻醉(腰麻)患者术后垫枕自由卧位的可行性。方法 将200 例腰麻术后患者随机分为观察组和对照组，每组100例，观察组术后采取垫枕自由卧位，对照组术 后采取常规去枕平卧位6h。结果 2组均未发生头痛；观察组不舒适率、皮肤受压及腰背酸痛发生 2—42．017，Po．001)。2组生 率均低于对照组(z2=67．307，PO．001；z2—7．446，P一0．006；z 命体征比较，差异无统计学意义。结论腰麻术后患者若无特殊医嘱或麻醉师交班时有明确要求， 可予垫枕自由卧位，有利于提高患者舒适度，防止术后并发症的发生。 【关键词】腰麻；去枕平卧位；垫枕自由卧位；头痛 1674—3768．2018．03．012 doi：10．3969／j．issn To the offreerecumbentwitha after [Abstract]Objectiveinvestigatefeasibility position pillow anaesthesia．MethodsAtotalof200 anaesthesiabetween2016and spinal patientsundergoingspinal July 2017were were and dividedintoanobservationanda enrolled．They equally group February randomly control observationtookfreerecumbentwitha after anaesthesia， group．The group position pillow spinal whilethecontrol tooksixhoursof withouta Headachewasnot group supineposition pillow．Results hadlowerincidences observedinboth withthecontrol observation of groups．Compared group，the group well