Abstract: 【Abstract】〓Objective〓To investigate the postural care on patients with unilateral pleural effusion of blood oxygen saturation and complications. Methods〓Sixty-four patients with unilateral pleural effusion were recruited and assigned to two groups according to fluid volume, small amount of fluid group (A group, n=34) and massive fluid group (B group, n=30). In the quiet situation, patients were taken contralateral supine and ipsilateral supine for 5 minutes in a state without oxygen and suffering. Chest distress, symptoms of chest pain, coughing, dyspnea were observed and recorded. Then the affected side, contralateral position was held in 15 min, respectively. Heart rate at different postures, breathing, blood oxygen saturation, and complications were recorded with EDAN multi-parameter monitor. Results〓There were statistical differences in respiration rate, heart rate, oxygen saturation and complications (chest distress, chest pain, cough and dyspnea) when taking healthy lateral decubitus. When taking the affected side decubitus, the heart rate, oxygen saturation value, chest distress, chest pain, cough were significantly different (P<0.05), while the dyspnea and respiratory rate were not statistically different. Conclusion〓The patients with medium or low level of pleural effusion were advised to take Andral's decubitus, while those who with high level were advised to take affected side decubitus. When decubitus change causes oxygen saturation decline, analyze and turn to proper decubitus.

Key words: Postural care, Pleural effusion, Complication

摘要： 【摘要】 目的 研究不同体位护理对胸腔积液患者血氧饱和度及并发症的影响。方法〓收集我院治疗的单侧胸腔积液患者64例,按照积液量的多少分为2组,A组为中少量积液患者(34例),B组为大量积液患者(30例)。让A、B两组患者均在安静、不吸氧的状态下分别取健侧卧位与患侧卧位各持续5 min,观察患者有无胸闷、胸痛、咳嗽、呼吸困难等症状。再进行患侧、健侧两体位各保持 15 min,用EDAN多参数监护仪进行监测,观察患者在不同体位下的心率、呼吸、血氧饱和度以及并发症的情况。结果〓取健侧卧位时,两组间的呼吸次数、心率次数、血氧饱和度值,及胸闷、胸痛、咳嗽、呼吸困难发生的差异均有统计学意义(P<0.05)。取患侧卧位时,两组在胸闷、胸痛、咳嗽、心悸、血氧饱和度具有统计意义(P<0.05),但呼吸困难发生两组间差异无统计意义。 结论〓临床上对待不同胸腔积液的患者,要进行个体化护理。中少量积液患者宜采取健侧卧位,大量胸腔积液患者宜采取患侧卧位,建议遇到当体位改变导致血氧饱和度下降的患者时,要进行合理的分析,并确定适合的体位。

关键词: 并发症, 胸腔积液, 体位护理