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題名 | 全身麻醉腹部手術後病患肺功能之恢復及其影響因素之探討= |
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作者 | 杜異珍; 紀崑山; |
期刊 | 榮總護理 |
出版日期 | 19950900 |
卷期 | 12:3 1995.09[民84.09] |
頁次 | 頁332-339 |
分類號 | 419.73 |
語文 | chi |
關鍵詞 | 全身麻醉; 腹部手術; 病患; 肺; Pulmonary function recovery; Influential factors; Abdominal surgery; General anesthesia; |
中文摘要 | 本研究係採用測量法及調查法,在中部某教學醫院,以立意取樣法, 抽取門診住院全身麻醉及腹部手術的病患40名,並於手術前及手術後1-7天測 量其肺功能及收集相關資料,以瞭解患者於手術後肺功能之恢復情形。 研考結果(一)手術後第1天,患者肺活量僅及手術前之56%,至手術後7天, 則恢復至手術前之82%。(二)手術後第1天有32.5%病患,其肺活量在手術前之 50%以下,手術後第7天,仍有10%病患其肺活量無法恢復至手術前70%之水準。 (三)病患手術後第7天之肺活量和手術前肺活量比較有顯著差異。(四)影響手術 後肺活量恢復之因素有:上臂圍、吸菸及手術部位。(五)年齡、手術時間、手術 中出血及輸血差額及手術後疼痛程度和肺活量之恢復呈負相關。(六)體重狀況和 肺活量之恢復呈正相關。(七)以肺活量小於15ml/每公斤(體重)及病患自覺咳 痰困難為霧氣吸入使用標準,則霧氣吸入應使用至手術後第3天。(八)病患自覺 有痰可以咳出情形,在手術後第7天仍佔42.5%。 |
英文摘要 | The purpose of this study is to investigate pulmonary function recovery and its influential factors on patients undergoing abdominal surgery with general anesthesia. The average results showed: (1) The patients' FVC (forced vital capacity) decreased to 56% on the first post-operation but recovered to 82% by the seventh post-operation day, the FVC of 32.5% of the patients decreased with more than 50%, and the FVC of 10% of the patients did not recover to 70%, as compared to that of the pre-operation on the seventh post-operation day. (3) On the seventh post-operation day, the patients' FVCs were distinctly different from that of the pre-operation. (4) The influential factors of FVC recovery in post-operation, were mid-upper arm circumference, smoking habit, and incision site. (5) The FVC recovery was negatively correlated with age, anesthesia time period, pain and blood transfusion shortage in operation. (6) The FVC recovery was positively correlated with weight. (7) Based on the FVC, and the cough situation of the patient, less than 15 ml/kg steam inhalation should be used until three days after operation. (8) 42% patients still had sputum on the seventh post-operation day. |
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