【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。更多还原

【Abstract】 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 significance between three groups in comfort scores after operation 2 h( P > 0. 05). Postoperative 4 h comfort scores of group B and C were significantly 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 < 0. 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 posterior thoracic lumbar patients within 6 h after operation,while the slope lateral position is more comfortable than the vertical lateral position. Therefore,the clinical thoracic posterior lumbar surgery patients should adopt the slope lateral position.更多还原