论文部分内容阅读
目的：观察患儿侧卧位对全麻下腺样体摘除术后麻醉恢复期进行呼吸道护理的影响。方法：选择择期在全麻下进行腺样体摘除的术后恢复期患儿70例，根据随机数字表随机分为观察组和对照组，观察组的采用侧卧位，在患儿头部下方垫一小薄枕，使头部轻度后仰；对照组采用平卧位，在患儿肩部下方垫一小薄枕，使头部后仰，并且头偏向一侧。进行比较全麻后恢复期中，两组患儿麻醉恢复期间呼吸道的并发症，包括呼吸道分泌物积聚、舌根后坠、呕吐物误吸的发生率。结果：患儿呼吸道分泌物积聚的发生率，观察组（3.3%）较对照组（33.3%）显著降低；患儿舌根后坠的发生率，观察组（6.7%）较对照组（26.7%）显著降低。结论：患儿在全麻下行腺样体摘除术后恢复期中，采用侧卧位的方法，使患儿头部轻度后仰，可减少分泌物积聚和舌根后坠等呼吸道并发症的发生，是安全可行的。
OBJECTIVE: To observe the effect of lateral position of children on respiratory care after anesthesia recovery during general anesthesia with adenoidctomy. Methods: Seventy children undergoing elective adenoidectomy after elective adenoidectomy were randomly divided into observation group and control group according to a random number table. The observation group was in lateral position and under the head of the child A small thin pad pillow, the head slightly backwards; control group with supine position, under the shoulder in children with a small pad pillow, the head backwards, and the head to the side. During the recovery period after general anesthesia, the complication of respiratory tract during recovery of anesthesia in both groups included respiratory secretions accumulation, tongue base fall, and incidence of vomit aspiration. Results: The incidence of respiratory secretions in the observation group (3.3%) was significantly lower than that in the control group (33.3%). The incidence of tongue root fall in the observation group (6.7%) was significantly higher than that in the control group (26.7% Significantly lower. Conclusions: In the convalescence of adenoid extirpation after general anesthesia, the method of lateral lying can make the head of the child slightly backwards, which can reduce the occurrence of respiratory complications such as the accumulation of secretions and the fall of tongue base, It is safe and feasible.