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目的探讨逐级30°半卧位用于断指再植术后患者的安全性和可行性。方法将101例断指再植术后患者随机分为对照组50例和观察组51例,对照组采用常规绝对平卧位,观察组术后6h生命体征平稳时开始采用逐级30°半卧位。结果观察组体位变化前后心率、血压、血氧饱和度无统计学差异(均P>0.05);两组再植指体血运良好率比较,差异无统计学意义(P>0.05);观察组腹痛腹胀、腰背部不适、开塞露干预率降低,排便时间提前,舒适度增高,焦虑程度降低,与对照组比较差异有统计学意义(P<0.05,P<0.01)。结论逐级30°半卧位对再植指体血运影响较小,可增加患者舒适度,减少不适反应。
Objective To investigate the safety and feasibility of progressive 30 ° semi-recumbent position for replantation of severed finger. Methods A total of 101 patients with replantation of severed finger were randomly divided into control group (n = 50) and observation group (n = 51). The control group was given conventional absolute supine position. The observation group was stable at 6 hours after operation, Bit. Results There was no significant difference in heart rate, blood pressure and oxygen saturation between the observation group and the control group (all P> 0.05). There was no significant difference between the two groups (P> 0.05) Abdominal pain, abdominal distension, lower back discomfort, lower rate of premature decongestant exposure, earlier defecation time, higher comfort, and lower anxiety level compared with the control group (P <0.05, P <0.01). Conclusions The stepwise 30 ° semi-recumbent position has little effect on the blood supply of the replantation finger, which can increase patient comfort and reduce discomfort.