颈椎前入路手术体位的改进  

Modifying Body Posture for Cervical Spine Surgery via Anterior Approach

作　　者：黄登会[1] 杨晓莹[1] 韩童利[1] 

机构地区：[1]泸州医学院附属医院住院部手术室,四川泸州646000

出　　处：《护理学杂志》2009年第20期42-44,共3页

摘　　要：目的观察颈椎前入路手术体位改进的临床应用效果。方法将160例前入路颈椎手术患者随机分为观察组和对照组各80例;对照组给予常规体位摆放,观察组予改进体位,具体方法包括:垫肩,充分显露双侧颈长肌;用"C"形啫哩头圈、小圆枕、宽胶布固定患者头部;护眼;"C"臂的球管部套上自制的无菌保护套等。结果观察组监护电极线及电刀负极线脱落率显著低于对照组,术野暴露满意率显著高于对照组(P<0.05,P<0.01)。结论改进后的颈椎体位更有利于充分暴露术野,便于操作。Objective To explore the effect of the modified body posture for cervical spine surgery via anterior approach. Methods Totally, 160 patients scheduled for cervical spine surgery were randomly divided into an observation group and a control group equally. Patients in the control group were given conventional surgical position, while their counterparts in the observation group adopted modified position, including giving shoulder pads to expose the bilateral longus colli; using C-shaped gel lap, circular pillows and broad adhesive tapes to fix the head and neck; protecting eyes; and using homemade sterile protector to cover bulb. Result The exposure of surgical field of the observation group was superior to that of the control group, the detachment rates of wires of monitor and ngative electrodes in the observation group were significantly lower than those in the control group （P〈0.05, P〈 0.01）. Conclusion Modified bodv posture for cervical spine surgery can effectively expose surgical field and it is easy to operate.

关 键 词：颈椎前入路手术 手术体位 术中护理 术中并发症 

分 类 号：R472.3[医药卫生—护理学]