腰肋悬空位和俯卧位经皮肾镜碎石术在患者主观感觉的临床随机调查分析  

Effect of supine and prone position in percutaneous renal Hthotripsy on subjective feeling： a randomized clinical trial

作　　者：魏世平[1] 潘铁军[1] 沈国球[1] 杨家荣[1] 钱卫红[1] 

机构地区：[1]广州军区武汉总医院泌尿外科,430070

出　　处：《临床外科杂志》2012年第8期581-582,共2页Journal of Clinical Surgery

摘　　要：目的探讨腰肋悬空位和俯卧位经皮肾镜碎石术对患者主观感觉的影响。方法100例经皮肾镜碎石术患者，随机分为腰肋悬空位和俯卧位两组，每组50例，采用视觉模拟评分（VAS评分）记录患者体位舒适感、呼吸困难感和术后24h肾穿刺部位疼痛感评分数据；统计并比较两种不同体位上述相关数据的差异。结果两组在体位舒适感和呼吸困难感方面比较，差异有统计学意义；而两组在术后穿刺部位疼痛感方面比较，差异无统计学意义。结论腰肋悬空位经皮肾镜碎石术的体位变化相对少，拥有更好的体位舒适感、更轻的呼吸困难感和较好的气道管理，且手术过程中便于观察患者生命体征。因此腰肋悬空位经皮肾镜碎石术对年老体弱、高危肥胖、身体畸形体位搬动不便和有慢性心肺疾患的患者尤为适用，是一种安全、有效、便利的治疗肾结石的微创方式。Objective To explore the effect of supine and prone position in percutaneous renal lithotripsy on patients＇subjective feelings. Methods A total of 100 patients undergoing percutaneous renal lithotripsy from January 2010 to January 2011 in our hospital were randomly divided into two groups as the supine position group and the prone position group with 50 patients in each group. Visual analog scale （VAS） score was adopted to record relative data, including sense of comfort, sensation of dyspnea and puncture site pain during the first 24 hours following procedure. Statistical ananlysis of these data was per- formed to compare the differences between groups. Results The sense of comfort and sensation of dyspnea in the two groups were significantly different while the postoperative pain in the two groups was not. Con- clusion During the percutaneous renal lithotripsy in supine position, the changes of body position were relatively fewer, which may provide better posture comfort, lighter sensation of dyspnea and better airway management. Therefore, percutaneous lithotripsy in supine position is particularly applicable for patients with debility, obesity, deformity or chronic heart and lung disease, It is a safe, effective and convenient method in the minimally invasive treatment of kidney stones.

关 键 词：腰肋悬空位 俯卧位 经皮肾镜碎石术 视觉模拟评分 

分 类 号：R691[医药卫生—泌尿科学]