颈椎牵引器和马蹄型俯卧枕头在视网膜脱离患者术后护理中的应用  

The application of cervical traction and horseshoe-shaped prostrate pillow retina detachment patients in postoperative care

作　　者：李萍[1] 周素丹[1] 孙珠珠[1] 甘胜伟[2] 

机构地区：[1]浙江省台州医院口眼中心,浙江台州317000 [2]重庆医科大学第一附属医院眼科,重庆200025

出　　处：《中国现代医生》2015年第9期140-142,146,共4页China Modern Doctor

基　　金：重庆市第三批科技项目(cstc2011jjA10003)

摘　　要：目的探讨颈椎牵引器和马蹄型俯卧枕头在视网膜脱离患者术后护理中的应用效果。方法将浙江省台州医院2011年1月~2013年6月收治的336例视网膜脱离患者随机分为观察组及对照组,每组168例,观察组术后采用颈椎牵引器将额面部支撑,同时采用俯卧枕头支撑头部,对照组患者仅给予常规俯卧体位,观察两组患者俯卧位时间、疼痛程度及并发症情况。结果观察组患者术后每天俯卧位时间[（12.86±2.17）vs（5.89±0.99）]h、俯卧位睡眠时间[（7.99±1.36）vs（4.86±0.79）]h显著长于对照组,差异有统计学意义（P〈0.05）。观察组患者术后头颈部疼痛、胸闷、腰痛、胸痛、手臂疼痛的发生率显著低于对照组,差异有统计学意义（P〈0.05）;疼痛程度则轻于对照组,差异有统计学意义（P〈0.05）;复位成功率显著高于对照组（96.43%vs 70.83%）,差异有统计学意义（P〈0.05）。结论对视网膜脱离患者应用马蹄形俯卧枕联合颈椎牵引器能有效提高患者舒适度,延长患者俯卧时间,减少患者长时间俯卧引起的不适感,能有效预防并发症的发生,有利于患者预后。Objective To investigate the application results of cervical traction and horseshoe-shaped pillow in retinal detachment patients prostrate postoperative care. Methods All 336 cases of retinal detachment patients were randomly divided into observation group （n= 168） and control group （n= 168） from Zhejiang Taizhou Hospital in January 2011 to June 2013. The observation group were treatment with the face amount of cervical traction device will support both the prostrate pillow supporting the head and the control group were treatmented with conventional prone position. The prone position time, the degree of pain and complications of two groups were observed. Results The patients prone position time（12.86：1：2.17 vs 5.89~0.99）h, prone sleep time（7.99~l.36 vs 4.86~0.79）h of observation group were longer than the control group（P〈0.05）. The rates of head and neck pain, chest tightness, back pain, chest pain, arm pain of observa- tion group were lower than the control group, the difference was statistically significant （P〈O.05）.The rates of degree of pain was lighter than the control group,the difference was statistically significant （P〈0.05）. The success rate of obser- vation group was higher than control group（96.43% vs 70.83%）, the difference was statistically significant （P〈0.05）. Conclusion The patients with retinal detachment prone horseshoe joint cervical traction pillow can effectively improve patient comfort and prolong patient prone time, reduce patient discomfort caused by prolonged prone, can effectively prevent the occurrence of complications, is conducive to the prognosis of patients.

关 键 词：颈椎牵引器 马蹄型俯卧枕头 视网膜脱离 

分 类 号：R779.6[医药卫生—眼科]