一体式肩托在头低脚高截石位腹腔镜手术患者中的应用  

Application of self-made one-piece shoulder pillow in patients undergoing gynecological laparoscopy with lithotomy position and trendelenburg position

作　　者：王莉[1] 张泽勇[1] 黄间崧[1] 尹知训[2] 

机构地区：[1]广州医科大学附属第一医院麻醉手术科 [2]广州医科大学附属第一医院骨外科,广东广州510120

出　　处：《现代临床护理》2016年第1期55-58,共4页Modern Clinical Nursing

基　　金：广东省医学科研基金课题;项目编号为A2014297

摘　　要：目的探讨一体式肩托对降低头低脚高截石位腹腔镜手术患者肩痛和皮肤红润发生的作用。方法按病历卡号尾数的单双数,将在本院住院行腹腔镜手术的206例患者分为对照组(单数)及实验组(双数),每组各103例。对照组术中采用改良截石位及传统肩托放置方法;实验组术中采用改良截石位及自制一体式肩托,观察两组患者肩痛及肩部皮肤红润发生情况。结果实验组患者肩痛及肩部皮肤红润发生率均低于对照组,差异均有统计学意义(P<0.05)。结论使用一体式肩托可以降低头低脚高位腹腔镜手术患者肩痛的发生及颈肩部皮肤压红程度。Objective To explore the effect of one-piece shoulder pillow on patients suffering from shoulder pain and skin erubescence during gynecological laparoscopy with lithotomy position and trendelenburg position. Methods Two hundred and six patients who underwent gynecological laparoscopic operation were divided into control and experiment groups according to cardinal or even number of registration. The patients in both groups were set in lithotomy position and trendelenburg position during the operation,with the difference in the use of a common shoulder pillow for support in the control group but no use in the experiment one. On-position time and incidence rate of shoulder pain and skin erubescence were compared between two groups. Result The sholder pain and skin erubescence were less than those of control group（P 〈0.05）. Conclusion Use of one-piece shoulder pillow can reduce the incidence rates of shoulder pain and skin erubescence after gynecological laparoscopic operation with lithotomy position and trendelenburg position.

关 键 词：腹腔镜术 妇科 头低脚高截石位 架类使用 

分 类 号：R472[医药卫生—护理学]