妇科腔镜手术患者人字形与截石体位的比较研究  

Comparison of effect of split-leg and lithotomy position for gynecologic laparoscopic surgery

作　　者：尤兴翠[1] 周尉玺[1] 王江津[1] 刘蓝[1] 舒光明[1] 李慧[1] 

机构地区：[1]荆州市第二人民医院护理部,湖北荆州434000

出　　处：《护理学杂志》2013年第16期55-57,共3页

摘　　要：目的 探讨人字形分腿位与截石位对妇科腔镜手术患者的影响.方法 将200例实施妇科腔镜手术患者随机分为对照组和观察组各100例.对照组采用常规截石体位；观察组采用人字形分腿位,即采用可分腿板式手术床,无需安装托腿架,双下肢平放于腿板上,腿板水平分开角度90°～1 00°.结果 观察组体位安置耗时（237.00±58.00）s,对照组（151.00士17.00）s,两组比较,差异有统计学意义（P＜0.01）；观察组体温、血压、心率变化幅度小于时照组（均P＜0.01）,麻醉苏醒期平稳性、术后舒适度改变等指标优于对照组（均P＜0.01）.结论 与截石位相比,人字形分腿住手术野暴露充分,摆放简便,可有效预防并发症的发生,提高手术安全性.Objective To compare effects of split-leg and lithotomy position for gynecologic laparoscopic surgery.Methods Two hundred patients receiving gynecologic laparoscopic surgery were randomly divided into a control group and an observation group,with 100 in each.Patients in the control group were placed in lithotomy position,while their counterparts in the observation group were placed in split-leg position：a split-leg operating table was employed without installing leg holder frame,and then patient＇s legs were positioned on leg boards with the angle being 90 ° to 100 °.Results The length of time spent in positioning was （215.00± 17.00）s in the control group and （237.00 ± 58.00）s in the observation group,with significant difference between the two groups （P＜0.01）.Small fluctuations of body temperature,blood pressure,and heart rates were found in the observation group than the control group（P＜0.01 for all）.Stability during anesthesia emergence and postoperative comfort in the observation group were better than the control group （P＜0.01 for both）.Conclusion Compared with the lithotomy position,split-leg position which can be simply placed can completely expose surgical area,effectively prevent complications,and improve safety.

关 键 词：妇科 腔镜手术 人字形体位 截石位 

分 类 号：R472.3[医药卫生—护理学]