摘要
目的探讨全麻下妇科腹腔镜手术后早期床上运动对CO2气腹后遗效应的影响。方法选取2007年7月—2008年4月,全麻下妇科腹腔镜手术后80例患者,按照住院号码的单双号分组,进行对照试验,术后患者全麻清醒送回病房,持续低流量吸氧6 h,干预组患者施行术后早期床上运动,对照组患者施行常规护理干预。通过出院问卷调查,统计术后早期床上运动对患者术后CO2气腹后遗效应影响的主观评分、典型后遗效应发生率和最早排气时间的影响。结果腹腔镜手术后,早期床上运动的干预组患者主观评分低于对照组(P<0.01);恶心呕吐、双肩酸痛、腹胀发生率均明显低于对照组(P<0.05);最早排气时间显著早于对照组(P<0.01)。结论早期床上活动可显著降低全麻下腹腔镜手术后CO2气腹的后遗效应。
Objective To explore the influence of early stage bed exercise on CO2 pneumoperitoneum after-effect in patients under- going gynecological laparoscopic operation under general anesthesia. Methods 80 patients undergoing gynecological laparoscopic operation between July, 2007 and April, 2008, were divided into the intervention group and the control group according to the odd- ness or evenness of the hospitalization serial number. Through after-discharge questionnaire, an analysis was made of the influence of the nursing intervention of early stage bed exercise on the incidence and the subjective assessment of the post-operation CO2 pneumoperitoneum after-effect, and the time of the first exhausting. Results The subjective score for the intervention group was lower than that for the control group （P〈0.01）, the incidence rate of nausea, vomiting, shoulder soreness and abdominal distention, distinctly . lower （P〈0.05）, and the time of the first exhausting markedly earlier, than the control group（P〈0.01）. Conclusion Early stage bed exercise can markedly reduce the CO2 pneumoperitoneum after-effect in patients undergoing gynecological laparoscopic operation under general anesthesia.
出处
《护理学报》
2009年第7期41-43,共3页
Journal of Nursing（China）
关键词
腹腔镜
人工气腹后遗效应
床上运动
早期
护理
laparoscopy
artificial pneumoperitoneum after-effect
bed exercise, early stage
nursing
