摘要
目的：是探讨全麻对呼吸的影响.方法：通过对78例全麻腹部手术患者按上、下腹部手术分成两组.监测呼吸指标和临床症状的观察、比较、分析,发现二组存在明显差异.结果：全麻上、下腹部手术后6h各项呼吸指标在PCO2、SaO2上存在明显差异.由于术后6h,受麻醉抑制、体力不支、切口疼痛等因素的影响,上、下腹部手术患者所表现的VC和FVC都比正常预计值有明显的下降,其中,VC比较有明显差异性.二组术后胸闷、气促、呕吐、呃逆症状程度量化比较有明显差异.结论：全身麻醉腹部手术,特别是上腹部手术,对呼吸功能产生的不良影响,应遵循预防为主、护患配合、综合护理的原则,才能最大限度地减少术后呼吸道并发症.
Objecitve：Is discusses the general anesthesia to the breath the influence. Methods：Through presses down, the underbelly surgery to 78 example general anesthesia abdomen surgery patient divides into two groups. The monitor breath target and the clinical symptom observation,the comparison,the analysis,discovered two groups have the obvious difference. Results：In after the general anesthesia, the underbelly surgery the 6h each breath target in PCO 2 ,SaO o n 2 has the obvious difference. Because after the technique 6h,is anaesthetized the suppression,the physical strength not,factor and so on margin ache influences,on,the underbelly surgery patient displays VC and FVC all have the obvious drop compared to the normal predicted value,among, the VC comparison has the obvious difference. After two groups of techniques the chest stuffy, the short of breath,vomitive,the hiccup symptom degree quantification comparison has the obvious difference. Conclusion：The general anesthesia abdomen surgery, specially the epigastrium surgery, to breathes the function to produce affects not good, should follow .the prevention primarily, protects the trouble coordination, the synthesis nursing principle,after can maximum limit reduce the technique the respiratory tract complication.
出处
《按摩与康复医学》
2011年第9期143-144,共2页
Chinese Manipulation and Rehabilitation Medicine
关键词
全麻
腹部手术
呼吸
护理
General anesthesia Abdomen surgery Breath Nursing
