针型胸腔镜胸交感神经链切断术体位改良设计  

The study of patients' positions for needle-assisted thoracoscopic sympathicotomy

作　　者：叶媛媛[1] 陈丽莉[1] 许金珠[1] 王晓础[1] 林晓铭[1] 吴辉[1] 

机构地区：[1]温州医学院附属第一医院,325000

出　　处：《中华护理杂志》2010年第5期444-446,共3页Chinese Journal of Nursing

基　　金：温州医学院附属第一医院资金资助项目(编号:08HL02)

摘　　要：目的探讨3种手术体位对针型胸腔镜胸交感神经链切断术的影响。方法选择针型胸腔镜胸交感神经链切断术患者60例,按手术体位分成侧卧位组、半坐卧位组、改良半坐卧位组,每组20例。监测体位改变前后气管导管位置、无创血压、心率,评价术野暴露情况,记录手术时间,患者术后舒适度。结果3种体位均能够顺利完成手术,改良半坐卧位能够保证手术视野及患者舒适度,操作方便,手术时间短。结论针型胸腔镜胸交感神经链切断术采用改良半坐卧位,既可保证手术视野及患者的舒适度,又能稳定和改善患者的循环功能,缩短手术时间。Objective To explore the effect of three surgical positions on needle-assisted thoracoscopic sympathicotomy.Methods Sixty patients undergoing needle-assisted thoracoscopic sympathicotomy were divided into lateral position group,Fowler position group,and modified Fowler position group.The position of the endotracheal tube,noninvasive blood pressure（NIBP） and heart rate were monitored before and after the body position was changed.Moreover,the exposure of surgical field,operation time and comfort degree of patients were recorded.Results The operations were completed successfully under the three positions.Modified Fowler position provided better surgical field and higher comfort degree of patients.Moreover,it was convenient for operative procedure and shortened the operation duration.Conclusion During the operation of needle-assisted thoracoscopic sympathicotomy,modified Fowler position can provide better surgical exposure,enhance comfort of patients,stabilize hemodynamics and shorten operation duration.

关 键 词：胸腔镜 胸交感神经链切断术 体位 手术中护理 

分 类 号：R472[医药卫生—护理学]