Bruno Prata Martinez , Joilma Ribeiro Silva , Vanessa Salgado Silva , Mansueto Gomes Neto , Luiz Alberto Forgiarini Júnior
{"title":"不同体位对上腹术后患者肺活量的影响","authors":"Bruno Prata Martinez , Joilma Ribeiro Silva , Vanessa Salgado Silva , Mansueto Gomes Neto , Luiz Alberto Forgiarini Júnior","doi":"10.1016/j.bjanes.2014.06.001","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>The changes in body position can cause changes in lung function, it is necessary to understand them, especially in the postoperative upper abdominal surgery, since these patients are susceptible to postoperative pulmonary complications.</p></div><div><h3>Objective</h3><p>To assess the vital capacity in the supine position (head at 0° and 45°), sitting and standing positions in patients in the postoperative upper abdominal surgery.</p></div><div><h3>Methods</h3><p>A cross-sectional study conducted between August 2008 and January 2009 in a hospital in Salvador/BA. The instrument used to measure vital capacity (VC) was analogic spirometer, the choice of the sequence of positions followed a random order obtained from the draw of the four positions. Secondary data were collected from the medical records of each patient.</p></div><div><h3>Results</h3><p>The sample consisted of 30 subjects with a mean age of 45.2<!--> <!-->±<!--> <!-->11.2 years, BMI 20.2<!--> <!-->±<!--> <!-->1.0<!--> <!-->kg/m<sup>2</sup>. The position on orthostasis showed higher values of CV regarding standing (mean change: 0.15<!--> <!-->±<!--> <!-->0.03<!--> <!-->L, p<!--> <!-->=<!--> <!-->0.001), the supine to 45̊ (average difference: 0.32<!--> <!-->±<!--> <!-->0.04<!--> <!-->L, p<!--> <!-->=<!--> <!-->0.001) and 0° (0.50<!--> <!-->±<!--> <!-->0.05<!--> <!-->L, p<!--> <!-->=<!--> <!-->0.001). There was a positive trend between the values of forced VC supine to upright posture (1.68<!--> <!-->±<!--> <!-->0.47; 1.86<!--> <!-->±<!--> <!-->0.48, 2.02<!--> <!-->±<!--> <!-->0.48 and 2.18<!--> <!-->±<!--> <!-->0.52<!--> <!-->L, respectively).</p></div><div><h3>Conclusion</h3><p>Body position affects the values of CV in patients in the postoperative upper abdominal surgery, increasing in postures where the chest is vertical.</p></div>","PeriodicalId":100199,"journal":{"name":"Brazilian Journal of Anesthesiology (Edicion en Espanol)","volume":"65 3","pages":"Pages 217-221"},"PeriodicalIF":0.0000,"publicationDate":"2015-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.bjanes.2014.06.001","citationCount":"0","resultStr":"{\"title\":\"Influencia de diferentes posiciones corporales en la capacidad vital en pacientes en el postoperatorio abdominal superior\",\"authors\":\"Bruno Prata Martinez , Joilma Ribeiro Silva , Vanessa Salgado Silva , Mansueto Gomes Neto , Luiz Alberto Forgiarini Júnior\",\"doi\":\"10.1016/j.bjanes.2014.06.001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>The changes in body position can cause changes in lung function, it is necessary to understand them, especially in the postoperative upper abdominal surgery, since these patients are susceptible to postoperative pulmonary complications.</p></div><div><h3>Objective</h3><p>To assess the vital capacity in the supine position (head at 0° and 45°), sitting and standing positions in patients in the postoperative upper abdominal surgery.</p></div><div><h3>Methods</h3><p>A cross-sectional study conducted between August 2008 and January 2009 in a hospital in Salvador/BA. The instrument used to measure vital capacity (VC) was analogic spirometer, the choice of the sequence of positions followed a random order obtained from the draw of the four positions. Secondary data were collected from the medical records of each patient.</p></div><div><h3>Results</h3><p>The sample consisted of 30 subjects with a mean age of 45.2<!--> <!-->±<!--> <!-->11.2 years, BMI 20.2<!--> <!-->±<!--> <!-->1.0<!--> <!-->kg/m<sup>2</sup>. The position on orthostasis showed higher values of CV regarding standing (mean change: 0.15<!--> <!-->±<!--> <!-->0.03<!--> <!-->L, p<!--> <!-->=<!--> <!-->0.001), the supine to 45̊ (average difference: 0.32<!--> <!-->±<!--> <!-->0.04<!--> <!-->L, p<!--> <!-->=<!--> <!-->0.001) and 0° (0.50<!--> <!-->±<!--> <!-->0.05<!--> <!-->L, p<!--> <!-->=<!--> <!-->0.001). There was a positive trend between the values of forced VC supine to upright posture (1.68<!--> <!-->±<!--> <!-->0.47; 1.86<!--> <!-->±<!--> <!-->0.48, 2.02<!--> <!-->±<!--> <!-->0.48 and 2.18<!--> <!-->±<!--> <!-->0.52<!--> <!-->L, respectively).</p></div><div><h3>Conclusion</h3><p>Body position affects the values of CV in patients in the postoperative upper abdominal surgery, increasing in postures where the chest is vertical.</p></div>\",\"PeriodicalId\":100199,\"journal\":{\"name\":\"Brazilian Journal of Anesthesiology (Edicion en Espanol)\",\"volume\":\"65 3\",\"pages\":\"Pages 217-221\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2015-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.bjanes.2014.06.001\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Brazilian Journal of Anesthesiology (Edicion en Espanol)\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2255496315000136\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Brazilian Journal of Anesthesiology (Edicion en Espanol)","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2255496315000136","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
体位的改变可引起肺功能的改变，有必要了解它们，特别是在术后上腹部手术中，因为这些患者易发生术后肺部并发症。目的评价上腹部手术术后仰卧位(头部0°和45°)、坐位和站立位患者的肺活量。方法2008年8月至2009年1月在萨尔瓦多/BA的一家医院进行横断面研究。测定肺活量(VC)的仪器为模拟肺活量计，体位顺序的选择遵循4个体位的随机顺序。从每位患者的医疗记录中收集辅助数据。结果30例患者，平均年龄45.2±11.2岁，BMI 20.2±1.0 kg/m2。直立体位的CV值在站立时(平均变化为0.15±0.03 L, p = 0.001)、仰卧位为45°(平均变化为0.32±0.04 L, p = 0.001)和0°(0.50±0.05 L, p = 0.001)均较高。强迫VC仰卧位与直立位之间有显著正相关(1.68±0.47;1.86±0.48,2.02±0.48,2.18±0.52 L,分别)。结论体位对术后上腹部手术患者的CV值有影响，胸垂直体位的CV值增加。
Influencia de diferentes posiciones corporales en la capacidad vital en pacientes en el postoperatorio abdominal superior
Background
The changes in body position can cause changes in lung function, it is necessary to understand them, especially in the postoperative upper abdominal surgery, since these patients are susceptible to postoperative pulmonary complications.
Objective
To assess the vital capacity in the supine position (head at 0° and 45°), sitting and standing positions in patients in the postoperative upper abdominal surgery.
Methods
A cross-sectional study conducted between August 2008 and January 2009 in a hospital in Salvador/BA. The instrument used to measure vital capacity (VC) was analogic spirometer, the choice of the sequence of positions followed a random order obtained from the draw of the four positions. Secondary data were collected from the medical records of each patient.
Results
The sample consisted of 30 subjects with a mean age of 45.2 ± 11.2 years, BMI 20.2 ± 1.0 kg/m2. The position on orthostasis showed higher values of CV regarding standing (mean change: 0.15 ± 0.03 L, p = 0.001), the supine to 45̊ (average difference: 0.32 ± 0.04 L, p = 0.001) and 0° (0.50 ± 0.05 L, p = 0.001). There was a positive trend between the values of forced VC supine to upright posture (1.68 ± 0.47; 1.86 ± 0.48, 2.02 ± 0.48 and 2.18 ± 0.52 L, respectively).
Conclusion
Body position affects the values of CV in patients in the postoperative upper abdominal surgery, increasing in postures where the chest is vertical.
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