关键词: 手术, 全身麻醉, 妇科肿瘤, 早期体位, 护理

Abstract: ［Abstract］ Objective To investigate the effects of different body positions on vital signs，pain，drainage，pressure sores in patients with gynecologic tumors during abdominal surgery for general anesthesia within 6 hours after general anesthesia. Methods 300 patients with gynecologic tumors who underwent general anesthesia were divided into control group and observation group，150 cases in each group. The patients in control group were placed with a postoperation posture of lying in horizontal position without pillow for 6 hours，and those in observation group were with step-by-step semi-recumbent position in 6 hours after operation. The heart rate，respiration，vomiting，dizziness，shoulder and back pain，pressure sores，irritability，and patency of the drainage were observed，recorded and compared between two groups. Results There were no significant differences in the incidence of heart rate，blood pressure，vomiting，dizziness and headache between the observation group and the control group（all P values >0.05）. There were statistically significant differences in the incidence of shortness of breath，irritability，patency of the drainage，neck and shoulder，and low back pain between the two groups（all P values <0.05）. Conclusion Gynecologic tumors patients undergoing general anesthesia and placing a position of step-by-step semi-recumbent position in 6 hours after operation have lower incidence of postoperative adverse reactions，which helps improve nursing care quality.

Key words: gynecologic tumors, surgery, general anesthesia, nursing care, early position