Influence of different postures on breathing and comfort during anesthesia recovery in patients undergoing laparoscopic cholecystectomy
TANG Lingyu
CHEN Shunli
CAI Luyao
CHEN Yingyi
SONG Jianying
HU Lixin
ZHENG Silin
Abstract：Objective:To explore the influence of different postures on the patient's breathing and comfort during anesthesia recovery after laparoscopic cholecystectomy were studied.Methods:A total of 236 patients who undergoing laparoscopic cholecystectomy(LC)were selected by convenience sampling.We divided the patients into four groups:group A(supine),group B(15° semi-recumbent),group C(30° semi-recumbent)and group D(progressive semi-recumbent)randomly,59 cases in each group.Patients'SPO2,RR,Peak expiratory flow rate(PEF),forced expiratory volume(FVC),forced expiratory volume in one second(FEV1),FEV1/FVC,maximum inspiratory pressure(MIP),maximum expiratory pressure(MEP),respiratory complications,comfort was compared among four groups.Results:The values of PEF,FVC,FEV1,MIP and MEP in group B,C and D at 1 hour and 2 hours after the laryngeal mask was removed were higher than A group(P<0.05).FEV1/FVC of group B,group C and group D were higher than supine group at 2 hours after the laryngeal mask was removed(P<0.05).The MEP value of group C was higher than group B at 2 hours after the laryngeal mask was removed.The MIP and MEP values of the group D were higher than group B at 2 hours after the laryngeal mask was removed(P<0.05).Kolcaba Comfort scores of group B,group C and group D were higher than group A(P<0.05).The score of Kolcaba Comfort Scale in group D was higher than that in group A,B and C(P<0.05).There was no statistical significance in SPO2,RR,respiratory complications,blood pressure,mean arterial pressure,body temperature,pain level,level of wakefulness between the four groups(P>0.05).Conclusion:15° semi-supine position,30° semi-supine position and progressive semi-supine position after laryngeal mask removal after LC is conducive to lung ventilation and respiratory mechanical effect,and can obtain better comfort.The 30°semi-decubitus position and progressive semi-decubitus position are most conducive to the work of respiratory muscle,and the comfort of progressive semi-supine position is the best.
Keywords：laparoscopic cholecystectomyLCanesthesia recovery periodpositionbreathingcomfortnursing
Publication Date：2024-08-10
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：8( 2675-2682 )