改进手术侧卧位对后腹膜腔镜的术后恢复效果的影响  

Influence of modified surgical lateral position on the postoperative recovery efficacy in patients with posterior laparoscopic operation

作　　者：李霞[1] 陈茹妹[1] 甘立华[1] 邢文祯[1] 

机构地区：[1]海南省人民医院手术室,海南海口570031

出　　处：《实用临床医药杂志》2014年第12期61-63,共3页Journal of Clinical Medicine in Practice

基　　金：中国高校医学期刊临床专项资金项目(11321279)

摘　　要：目的观察泌尿外科后腹膜腔镜手术中侧卧位的临床应用及对术后恢复效果的影响。方法选择本院泌尿外科行后腹膜腔镜手术侧卧位患者100例,随机分为观察组和对照组.每组50例。观察组采用可调节式托手板放置于患侧上肢,将挡板分别固定于骶尾部和肩胛部,然后将自制长方形保护垫(80 cm×25 cm×20cm)垫于患侧下肢。对照组采用传统体位方式。观察2组治疗后手术医生和患者的满意度以及并发症发生率。结果观察组手术医生和患者的满意度明显高于对照组(P<0.01),但并发症总发生率显著低于对照组(P<0.01)。结论改进后腹膜腔镜侧卧位安置方法提高了手术医生和手术患者的满意度,减少了并发症发生率,并提高了手术护理质量,值得临床推广。Objective To observe the clinical application of surgical lateral position and its influence on the postoperative recovery efficacy in patients with posterior laparoscopic operation in Department of Urological Surgery.Methods A total of 100 patients with surgical lateral position in posterior laparoscopic operation in Department of Urological Surgery were randomly divided into observation group and control group,50 cases for each.Modified surgical lateral position was given to observation group in which adjustable plates were put on the involved upper limbs and orifice plates were fixed on sacrococcygeal and scapular regions respectively,with self-made rectangular neonychiums （80 cm×25 cm×20 cm）being placed under involved lower limbs,while traditional one to control group in which un-adjustable plates were performed.Satisfactory degrees of physicians and patients as well as postoperative complication rate were observed in both groups.Results Observation group was apparently higher in satisfactory degrees of physicians and patients but were markedly lower in the total rate of complications than control group,and the differences were all significant （P 〈0.01）.Conclusion Modified surgical lateral position in posterior laparoscopic operation can improve the satisfactory degree s of physicians and patients,decrease the total rate of complications and promote surgical nursing quality,which deserves to be widely used in clinic.

关 键 词：侧卧位 后腹膜腔镜手术 手术护理 满意度 

分 类 号：R572.2[医药卫生—消化系统]