标题:PVC充气体位垫在甲状腺手术体位摆放中的应用
作者:吕刚,张诗,黄婷,姚红玲 (武汉大学人民医院麻醉科,湖北 武汉 430060)
卷次:
2017年28卷23期
【摘要】 目的 探讨聚氯乙烯(以下简称PVC)充气体位垫在甲状腺手术体位摆放中的应用效果。方法 选取2012年1月至 2012年 12月武汉大学人民医院甲状腺癌的手术患者 100例,按随机数表法分为观察组和对照组,每组各 50例。观察组应用 PVC充气体位垫实施体位摆放;对照组使用凝胶肩垫、凝胶“U”型颈垫、凝胶头圈和辅助软垫实施体位摆放。比较两组患者体位摆放时间、手术时间、手术野暴露程度、患者颈肩部舒适度和体位稳固度。结果 观察组位置摆放时间、手术时间分别为(1.26±0.26) min、(1.36±0.35) h,均少于对照组的(2.67±0.39) min、(1.46±0.51) h,差异有统计学意义(P<0.05);观察组手术野暴露程度、患者舒适度分别为(96.58±5.79)分、(9.56±4.29)分,均高于对照组的(70.56±6.31)分、(71.86±7.16)分,差异有统计学意义(P<0.05);观察组体位稳固度为86.0%高于对照组的50.0%,差异均有统计学意义(P<0.05)。结论 PVC充气体位垫在甲状腺手术体位摆放过程中耗时少、术野暴露好、手术时间缩短、颈部舒适度高、体位稳定性强,效果良好,具有很好的临床实用价值。
【关键词】 PVC体位垫;甲状腺;手术
【中图分类号】 R473.6 【文献标识码】 A 【文章编号】 1003—6350(2017)23—3954—03
Application of PVC inflatable surgical position cushion in body position for thyroid operation.
LV Gang, ZHANGShi, HUANG Ting, YAO Hong-ling. Department of Anaesthesiology, Renmin Hospital of Wuhan University, Wuhan 430060,Hubei, CHINA
【Abstract】 Objective To explore the application of the PVC inflatable surgical position cushion in body posi-tion for thyroid operation. Methods A total of 100 cases of thyroid cancer surgery patients, who admitted to RenminHospital of Wuhan University from January 2012 to December 2012, were selected and divided into the observation groupand the control group according to random number table method, with 50 cases in each group. PVC inflatable surgical po-sition cushion was used in the observation group, while gel shoulder pads, gel u-shaped neck cushion, gel head coil andauxiliary soft mat were used in the control group. The position putting time, operation time, exposure degree of surgical ar-ea, comfort degree of neck and shoulder and postural stability of the two groups were compared. Results The position-ing and operative time were respectively (1.26±0.26) min and (1.36±0.35) h in the observation group, which were signifi-cantly shorter than (2.67±0.39) min and (1.46±0.51) h in the control group (P<0.05). The scores of exposure degree ofsurgical area, comfort degree of neck and shoulder were respectively (96.58±5.79) and (91.56±4.29) in the observationgroup, which were significantly higher than (70.56±6.31) and (71.86±7.16) in the control group (P<0.05). The rate of po-sition firmness was 86.0% in the observation group versus 50.0% in the control group (P<0.05). Conclusion PVC in-flatable surgical position cushion has the advantages of less position putting time, good exposure degree of surgical area,shorter operation time, comfort degree of neck and shoulder, postural stability and good effect in body position for thy-roid operation, and has better clinical value.
【Key words】 PVC position pad; Thyroid gland; Surgery·护 理·doi:10.3969/j.issn.1003-6350.2017.23.060
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