中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2010年
11期
24-25
,共2页
食管癌%体位%血压
食管癌%體位%血壓
식관암%체위%혈압
Esophageal cancer%Position%Blood pressure
目的 探讨食管癌手术患者体位的变化对血压的干预,预防循环系统的并发症确保患者安全.方法 将100例高龄食管癌侧卧位手术患者随机分组,Ⅰ组:手术毕全麻药物停止后,观察患者侧卧位时血压情况及手术毕侧卧位转变成平卧位1 min、2 min、3 min时血压情况;Ⅱ组:手术毕全麻药物停止后,患者侧卧90°位时血压情况,侧卧90°位→侧卧45°位1 min、侧卧45°位→平卧位1 min血流动力学变化.结果 侧卧位转变为平卧时血压有不同程度下降,尤其在侧卧位转变为平卧位1 min时下降最明显,P＜0.05;而由侧卧90°位→侧卧45°位→平卧位逐步转变时,血压变化不大,P＜0.05,差异无显著意义.结论 全麻侧卧位转变为平卧位时血压有明显波动,尤其是老年患者,侧卧位转变为平卧位时,可采用逐步放平身体的方法,即由侧卧90°位→侧卧45°位→平卧位,患者的血压波动较小.
目的 探討食管癌手術患者體位的變化對血壓的榦預,預防循環繫統的併髮癥確保患者安全.方法 將100例高齡食管癌側臥位手術患者隨機分組,Ⅰ組:手術畢全痳藥物停止後,觀察患者側臥位時血壓情況及手術畢側臥位轉變成平臥位1 min、2 min、3 min時血壓情況;Ⅱ組:手術畢全痳藥物停止後,患者側臥90°位時血壓情況,側臥90°位→側臥45°位1 min、側臥45°位→平臥位1 min血流動力學變化.結果 側臥位轉變為平臥時血壓有不同程度下降,尤其在側臥位轉變為平臥位1 min時下降最明顯,P＜0.05;而由側臥90°位→側臥45°位→平臥位逐步轉變時,血壓變化不大,P＜0.05,差異無顯著意義.結論 全痳側臥位轉變為平臥位時血壓有明顯波動,尤其是老年患者,側臥位轉變為平臥位時,可採用逐步放平身體的方法,即由側臥90°位→側臥45°位→平臥位,患者的血壓波動較小.
목적 탐토식관암수술환자체위적변화대혈압적간예,예방순배계통적병발증학보환자안전.방법 장100례고령식관암측와위수술환자수궤분조,Ⅰ조:수술필전마약물정지후,관찰환자측와위시혈압정황급수술필측와위전변성평와위1 min、2 min、3 min시혈압정황;Ⅱ조:수술필전마약물정지후,환자측와90°위시혈압정황,측와90°위→측와45°위1 min、측와45°위→평와위1 min혈류동역학변화.결과 측와위전변위평와시혈압유불동정도하강,우기재측와위전변위평와위1 min시하강최명현,P＜0.05;이유측와90°위→측와45°위→평와위축보전변시,혈압변화불대,P＜0.05,차이무현저의의.결론 전마측와위전변위평와위시혈압유명현파동,우기시노년환자,측와위전변위평와위시,가채용축보방평신체적방법,즉유측와90°위→측와45°위→평와위,환자적혈압파동교소.
Objective To investigate of body position changes in patients with esophageal cancer intervention on blood pressure, prevention of complications of the circulatory system to ensure patient safety. Methods 100 aged paients with esophageal carcinoma at lateral positon were selected and divided into two groups.The blood pressure in group Ⅰ were observed after stop general anesthesia drug, lateral position, and 1 min 、2min、3 min after post-operation changing into sits flat position. The blood pressure in group Ⅱ were observed afte stop general anesthesia drug, lateral position90° , and 1 min after lateral position 90°change to 45° to sits flat position. Results The blood pressure was reduced remarkable after lateral position chan, ge ( P ＜ 0. 05 ). The blood pressure was no remarkable change after lateral position 90° change to 45°, 45°to sits falt position. Conclusion The blood pressure was remarkable fluctuations after lateral position changing into sits fiat position, for avoid lood preeure fluctuations, sugests to release the body gradually form lateral position 90° change to 45 °, 45 ° to sits faot position.
