探讨食管癌手术体位的变化对血压的干预
Thechange of body position on esophageal cancer intervention in blood pressure
目的 探讨食管癌手术患者体位的变化对血压的干预,预防循环系统的并发症确保患者安全.方法 将100例高龄食管癌侧卧位手术患者随机分组,Ⅰ组:手术毕全麻药物停止后,观察患者侧卧位时血压情况及手术毕侧卧位转变成平卧位1 min、2 min、3 min时血压情况;Ⅱ组:手术毕全麻药物停止后,患者侧卧90°位时血压情况,侧卧90°位→侧卧45°位1 min、侧卧45°位→平卧位1 min血流动力学变化.结果 侧卧位转变为平卧时血压有不同程度下降,尤其在侧卧位转变为平卧位1 min时下降最明显,P<0.05;而由侧卧90°位→侧卧45°位→平卧位逐步转变时,血压变化不大,P<0.05,差异无显著意义.结论 全麻侧卧位转变为平卧位时血压有明显波动,尤其是老年患者,侧卧位转变为平卧位时,可采用逐步放平身体的方法,即由侧卧90°位→侧卧45°位→平卧位,患者的血压波动较小.
更多Objective To investigate of body position changes in patients with esophageal cancer intervention on blood pressure, prevention of complications of the circulatory system to ensure patient safety. Methods 100 aged paients with esophageal carcinoma at lateral positon were selected and divided into two groups.The blood pressure in group Ⅰ were observed after stop general anesthesia drug, lateral position, and 1 min 、2min、3 min after post-operation changing into sits flat position. The blood pressure in group Ⅱ were observed afte stop general anesthesia drug, lateral position90° , and 1 min after lateral position 90°change to 45° to sits flat position. Results The blood pressure was reduced remarkable after lateral position chan, ge ( P < 0. 05 ). The blood pressure was no remarkable change after lateral position 90° change to 45°, 45°to sits falt position. Conclusion The blood pressure was remarkable fluctuations after lateral position changing into sits fiat position, for avoid lood preeure fluctuations, sugests to release the body gradually form lateral position 90° change to 45 °, 45 ° to sits faot position.
More- 浏览:113
- 被引:0
- 下载:4
相似文献
- 中文期刊
- 外文期刊
- 学位论文
- 会议论文