CAJ | 학술논문

目的减少体位变动过程中增加气道阻力,防止术后麻醉恢复过程中气道损伤.方法将临床60例体位翻动患者按照体位翻动变化过程分为平卧搬动、侧卧搬动、俯卧搬动3阶段,分别比较改进前后体位移动时动态阻力变化情况,比较改进前后体位移动后管道移位率及麻醉后护理评分.结果改进前后平卧搬动、侧卧搬动、俯卧搬动阶段别比较体位移动前后安全纬度动态阻力、麻醉后护理评分及咽通气道使用率,差异均有统计学意义(P<0.05).结论术前连接气管插管下改进体位摆放方法可增加安全纬度,减少口咽通.气道使用率.
목적 감소체위변동과정중증가기도조력,방지술후마취회복과정중기도손상.방법 장림상60례체위번동환자안조체위번동변화과정분위평와반동、측와반동、부와반동3계단,분별비교개진전후체위이동시동태조력변화정황,비교개진전후체위이동후관도이위솔급마취후호리평분.결과 개진전후평와반동、측와반동、부와반동계단별비교체위이동전후안전위도동태조력、마취후호리평분급인통기도사용솔,차이균유통계학의의(P<0.05).결론 술전련접기관삽관하개진체위파방방법가증가안전위도,감소구인통.기도사용솔.
Objective To minimize the airway resistance in postural changing and prevent airway damage in the recovery after anesthesia.Methods 60 patients with postural changing were divided into horizontal position moving,lateral moving,and prone moving groups. Airway resistance before and after improving post manner were compared.Pipe displace rate and nursing score after anesthesia were also compared.Results Airway resistance,nursing score after anesthesia and usage of pharyngeal airway in the three groups after postural improvement were significantly different from those after postural improvement(P<0.05).Conclusions Preoperative connection with the improved postural changing can increase the safety and reduce ventilation of latitude.