改良式头架在插管全麻脊柱后入路手术病人中的应用  

Clinical Application of Reforming Head Frame in Spine Approach Operation with Trachea Cannula General Anesthesia

作　　者：刘善红[1] 朱金早[1] 黄锦联[1] 麦惠珍[1] 

机构地区：[1]广东省江门市新会区人民医院,广东江门529100

出　　处：《河北医学》2008年第6期711-712,共2页Hebei Medicine

摘　　要：目的：探讨插管金麻脊柱后入路手术病人，术中使用改良式头架的护理效果。方法：采用住院号尾数奇偶数随机分组，对改良组58例病人和传统组50例病人进行临床实践观察，效果对比。结果：手术时间4-6h，改良组无1例发生皮肤受压等并发症。而传统组发生皮肤压红及皮肤凹陷轻微发紫共13例。发生率为26％。结论：使用改良式头架能避免手术病人的头面部支撑点皮肤受压；同时可减少搬动病人头部，变换受压部位，大大地减少了护理工作量；另外，避免气管导管移位、脱落等情况发生，从而保证了麻醉和手术的安全系数。Objective：To probe the effective of spine approach operation with reforming head frame in trachea cannula general anaesthesia. Method： Two groups were clinical practice observation by retrospective analysis, including the reforming group with 58 patients and the control group with 50 patients. Result： No case was complicated with skin compression in group and 13 patients（26%） were skin compression in control group with operation time for 4-6 hours. Conclusion： Reforming head frame can avoid oppression of cephal- prisopo skin supporting point in patient with prone posture, reduce nurse workload obviously and moving patients, avoid tracheal catheter displacement and refluxion and improve anesthesia and operation factor of safety.

关 键 词：插管全麻 改良式头架 俯卧位 支撑点 

分 类 号：R614.2[医药卫生—麻醉学]