CAJ | 학술논문

目的观察三种常见体位对于单侧肺病变(单侧肺炎和单侧胸腔积液)患者的客观指标的影响,并收集记录主观症状的改变.方法 93例单侧肺病变患者逐次取三种常见体位(健侧卧位、患侧卧位、平卧位)各30 min,记录患者的客观指标(心率、呼吸、血氧饱和度及平均动脉压)及主观症状(胸闷、憋气加重等)变化情况.结果 93例患者采取不同体位时心率、呼吸、血氧饱和度、平均动脉压比较差异均无统计学意义;采取患侧卧位时自觉出现不适症状现象的频率均明显高于健侧卧位与平卧位,健侧卧位与平卧位组间不适症状发生率比较差异无统计学意义.结论患侧卧位时患者自觉不适现象的发生率显著多于其他二种体位,提示单侧肺病变的患者更愿意采用健侧卧位与平卧位.
목적 관찰삼충상견체위대우단측폐병변(단측폐염화단측흉강적액)환자적객관지표적영향,병수집기록주관증상적개변.방법 93례단측폐병변환자축차취삼충상견체위(건측와위、환측와위、평와위)각30 min,기록환자적객관지표(심솔、호흡、혈양포화도급평균동맥압)급주관증상(흉민、별기가중등)변화정황.결과 93례환자채취불동체위시심솔、호흡、혈양포화도、평균동맥압비교차이균무통계학의의;채취환측와위시자각출현불괄증상현상적빈솔균명현고우건측와위여평와위,건측와위여평와위조간불괄증상발생솔비교차이무통계학의의.결론 환측와위시환자자각불괄현상적발생솔현저다우기타이충체위,제시단측폐병변적환자경원의채용건측와위여평와위.
Objective Three common positions have been observed for its influence on the objective indicators of the patients with unilateral lung disease,and the change of subjective symptoms in these patients were collected.Methods The study group consisted of 93 patients who had unilateral lung diseases,each of which was randomly observed for three common positions (healthy side position,affected side position and the horizontal position) for 30 minutes respectively.In these patients,the changes of the objective indictors (heart rate,breathing,blood oxygen saturation,the mean arterial pressure) and subjective symptoms (chest stuffiness,breath is aggravating,etc.) were recorded.Results When using different positions,no statistical difference was observed with the heart rate,breathing,oxygen saturation and mean arterial pressure,whereas when affected side position was taken,the occurrence of worrisome symptoms was obviously higher than the condition when using healthy side position and the horizontal position.There was no statistical difference between the two groups of healthy side position and the horizontal position.Conclusions The occurrence of worrisome symptoms in the case of affected side po-sition is significantly more than the other two positions,indicating that patients with unilateral pulmonary disease are more willing to adopt the healthy side position and the horizontal position.