CAJ | 학술논문

目的：观察应用不同方法指导椎管内麻醉体位摆放时对体位摆放时间、患者自我感觉难易程度、患者焦虑程度及麻醉医师对体位满意程度的影响。方法择期于椎管内麻醉下行手术治疗的患者75例，随机分为三组，每组25例。A 组为现场指导组，B 组为麻醉前对照图例讲解+现场指导组，C 组为麻醉前观看视频+现场指导组。观察各组方法指导患者行椎管内麻醉时体位摆放时间、患者自我感觉难易程度、焦虑程度及麻醉医生对体位的满意程度。结果与 A 组相比，B 组和 C 组体位摆放时间明显缩短，患者自我感觉难易程度、焦虑程度明显改善，麻醉医师对体位的满异常程度明显提高（ P <0.05）；B 组和 C 组之间无显著差异（ P >0.05）。结论与现场指导相比较，麻醉前对照图例讲解+现场指导及麻醉前观看视频+现场指导均能明显缩短椎管内麻醉体位摆放时间、改善患者自我感觉难易程度和焦虑程度、提高麻醉医师对体位的满意程度。两种方法均具有可行性，值得推广。
목적：관찰응용불동방법지도추관내마취체위파방시대체위파방시간、환자자아감각난역정도、환자초필정도급마취의사대체위만의정도적영향。방법택기우추관내마취하행수술치료적환자75례，수궤분위삼조，매조25례。A 조위현장지도조，B 조위마취전대조도례강해+현장지도조，C 조위마취전관간시빈+현장지도조。관찰각조방법지도환자행추관내마취시체위파방시간、환자자아감각난역정도、초필정도급마취의생대체위적만의정도。결과여 A 조상비，B 조화 C 조체위파방시간명현축단，환자자아감각난역정도、초필정도명현개선，마취의사대체위적만이상정도명현제고（ P <0.05）；B 조화 C 조지간무현저차이（ P >0.05）。결론여현장지도상비교，마취전대조도례강해+현장지도급마취전관간시빈+현장지도균능명현축단추관내마취체위파방시간、개선환자자아감각난역정도화초필정도、제고마취의사대체위적만의정도。량충방법균구유가행성，치득추엄。
Objective This study was designed to determine the effects of different guidances on time for positioning,complexity and anx-iety of the patients,and the satisfaction of anaesthetist on the position during the process of neuraxial anesthesia. Methods Seventy - five patients who were scheduled for elective operations under neuraxial anesthesia were divided randomly into 3 groups(n = 25). The patients in group A were positioned under the direction of the anesthetist in the operation room. The patients in group B were given to see the pictures about positioning in the waiting room with the explanation of an anesthetist,and then were sent to the operation room to be positioned under the direction of the anesthe-tist liKe the group A. The patients in group C were given to see the video about the positioning in the waiting room,and the other processes were just liKe the group B. The observation indexes were time for positioning,complexity and anxiety of the patients during the process,and the satisfac-tion of the anesthetist on the position. Results The time for positioning in group B and group C was shorter than group A. complexity and anxiety of the patients in group B and group C were much better than group A. The anesthetist was more satisfied on the position of group B and group C than group A( P < 0. 05). The differences in the indexes observed between group B and group C were not significant( P > 0. 05). Conclusion Patients see the pictures or video about positioning before the process may help shorten the time for positioning,improve complexity and anxiety of the patients and satisfaction of anesthetist on the position.