甲状腺术前颈部体位训练对缓解不适感的影响  

The effect of neck postural training before thyroid surgery for relieving discomfort

作　　者：尹萍[1] 孙萍[1] 沈杰[2] 

机构地区：[1]江苏省原子医学研究所附属江原医院外科,江苏无锡214063 [2]江苏省原子医学研究所附属江原医院麻醉科,江苏无锡214063

出　　处：《中西医结合护理（中英文）》2016年第8期42-44,47,共4页Journal of Clinical Nursing in Practice

摘　　要：目的 探析甲状腺术前颈部体位训练不同时间和频率对缓解不适感的影响。方法 选取行甲状腺手术的患者108例,随机分为对照组、观察A组、观察B组,各36例。对照组术前未实施体位训练,观察A组于术前3 d进行60~90 min/d的颈部体位训练,观察B组于术前1 d进行30~60 min/次、3次/d的颈部体位训练,比较3组体位性头痛发生率、术中体位不适感优良率、术中氟芬合剂使用剂量及手术并发症。结果 观察A组、观察B组患者术后体位性头痛发生程度、氟芬合剂总用量、术中并发症总发生率均低于对照组,差异有统计学意义（P〈0.05）;观察B组疼痛程度、并发症发生率低于观察A组,但差异无统计学意义（P〉0.05）,观察B组氟芬合剂总用量较观察A组及对照组降低,差异有统计学意义（P〈0.05）。术中不适感评价,观察A组、观察B组患者优良率均高于对照组,差异有统计学意义（P〈0.05）,观察B组优良率优于观察A组,但差异无统计学意义（P〉0.05）。结论 于甲状腺术前1 d对患者实施30~60 min/次、3次/d的颈部体位训练,有助于缓解术中不适感及术后头痛感,预防甲状腺体位综合征发生。Objective To investigate the effect of different time and frequency of neck pos- tural training before thyroid surgery for relieving discomfort. Methods A total of 108 patients under- going thyroid surgery were randomly divided into the observation group A, observation group B and control group, with 36 cases in each group. Patients in the observation A group and observation B was given neck postural training （group A： 60 -90 minutes, once per day for 3 days before operation, group B： 30 -60 minutes, 3 times per day for 1 day before operation） , and patients in the control was not given any training. The incidence of headache, fineness rate of intraoperative discomfort assess- ment, innovar dose and operative complications were compared between two groups. Results Patients in the observation group A and B had a light degree of postural headache and lower incidence rate of complication compared with those in the control group （P 〈 0.05 ）, but with no significant difference between group A and group B （P 〉 0. 05 ）. There was no significant difference in fineness rate of intra- operative discomfort assessment between two group A and group B （P 〉 0.05 ）. The innovar dose was lower in the observation group B than that in the group A and control group （P 〈 0.05 ）. Conclusion Neck postural way of relieving training lasting 30 -60 minutes for 3 times at 1 day before operation is an effectively discomfort and headache, preventing posture syndrome of thyroid surgery.

关 键 词：甲状腺术 颈部体位训练 时间 频率 不适感 

分 类 号：R472.3[医药卫生—护理学]