CAJ | 학술논문

目的：探讨全身麻醉术后患者早期采取改良体位的必要性。方法：选取全身麻醉术后患者120例，随机分为对照组和实验组，对照组患者术后按传统方法采用去枕平卧位6小时，试验组患者术后采用早期半卧位或头颈部垫枕自由卧位，术后24小时内进行观察比较。结果：各组患者生命体征均平稳，对照组患者头痛、眩晕、呕吐发生率较实验组无统计学意义（P＞0．05）；而体位不适感和紧张情绪对照组明显高于实验组（P＜0．05）。结论：全身麻醉术后患者早期采取改良体位可减轻患者术后不适，预防颈肩痛和腰肌酸痛，缓解紧张情绪，增加患者舒适度，促进患者康复。
목적：탐토전신마취술후환자조기채취개량체위적필요성。방법：선취전신마취술후환자120례，수궤분위대조조화실험조，대조조환자술후안전통방법채용거침평와위6소시，시험조환자술후채용조기반와위혹두경부점침자유와위，술후24소시내진행관찰비교。결과：각조환자생명체정균평은，대조조환자두통、현훈、구토발생솔교실험조무통계학의의（P＞0．05）；이체위불괄감화긴장정서대조조명현고우실험조（P＜0．05）。결론：전신마취술후환자조기채취개량체위가감경환자술후불괄，예방경견통화요기산통，완해긴장정서，증가환자서괄도，촉진환자강복。
Objective:To explore the necessity to administrate improved early postoperative position in patients after general anesthe -sia.Methods:120 cases of patients after general anesthesia were randomly divided into the controlled group and the experimental group . The patients of the control group lied in traditional supine position without pillow for 6h postoperatively, while the patients of experimental group with early semi-recumbent or head and neck above pillow in free supine position .All the patients were observed and compared within 24h..Results:Vital signs of patients in each group were stable .the incidence of headache ,dizziness,vomiting between the con-trolled group and experimental group was not statistically significant ( P >0.05 ) ;but the postural discomfort and anxiety of the con-trolled group was significantly higher than the experimental group ( P <0.05 ).Conclusion:Administration of the improved early postop-erative position in patients After general anesthesia could reduce postoperative discomfort , prevent the neck and shoulder pain and psoas muscle soreness , relieve tension , increase comfort and promote the rehabilitation of patients .