术前体位干预预防经皮肾镜手术体位综合征的效果观察  

Observation the effect of preoperative postural intervention on prevention the operative posture syndrome of percutaneous nephrolithotomy patients

作　　者：陈少娟[1] 杜丽燕[1] 郭雅梅[1] 陈思颖[1] 区敏红[1] 莫劲军[1] 

机构地区：[1]广东省肇庆市第一人民医院手术室,肇庆市526000

出　　处：《护理实践与研究》2014年第6期87-88,共2页Nursing Practice and Research

基　　金：肇庆市卫生局立项项目(2012E272)

摘　　要：目的：探讨术前体位干预训练对预防经皮肾镜手术体位综合征的效果。方法：将2011年1月～2013年6月我院200例经皮肾镜手术患者随机等分为试验组和对照组。术前访视时,利用图片和现场指导的方法对试验组患者进行体位训练,对照组施行常规护理,比较两组患者术中生命体征变化、对体位的耐受性及术后肌肉疼痛情况。结果：试验组的患者术中生命体征波动小,手术及体位并发症少,与对照组比较具有统计学意义。结论：术前进行体位训练,可有效地减少患者躁动、呼吸困难及血压异常波动等经皮肾镜手术体位综合征发生,对保证手术的顺利进行起到了重要的作用。Objective：To investigate the effect of prevention on the operative posture syndrome of percutaneous nephrolithotomy patients with preoperative postural intervention.Methods：200 patients were randomly divided into experimental group and control group.In the experimental group,the patients were given postural training by using posture pictures and giving field guide at the preoperative visits.The patients in the control group were given routine nursing.Compared and statistically analyzed the data change of vital signs,tolerance of position and muscle pain after operation of the two groups.Results：In the experimental group,the patients＇ vital sings were little changed;operative and postural complications were less.The difference was statistically significant by comparing the two groups.The patients in the experimental group had more emotional stability and greater tolerance than that in the control group,especially those with combined spinal-epidural anesthesia.Conclusion：It can effectively reduce the operative posture syndrome of percutaneous nephrolithotomy,such as agitation,dyspnea,abnormal fluctuation of blood pressure,etc.and,it plays an important role in smooth of the operations with the preoperative postural intervention.

关 键 词：术前体位干预 经皮肾镜手术 手术体位综合征 术前访视 

分 类 号：R473.6[医药卫生—护理学]