塑型垫用于肺部手术侧卧位体位安置的应用研究  

Clinical study of bean bag in lateral position placing in pulmonary operations

作　　者：吴枚禅[1] 夏敏[2] 范佳画 梁振平 李秋梨[4] 

机构地区：[1]中山大学肿瘤防治中心手术室,广州510060 [2]中山大学公共卫生学院 [3]中山大学图书馆 [4]中山大学头颈科,广州510060

出　　处：《中国实用护理杂志》2017年第31期2423-2427,共5页Chinese Journal of Practical Nursing

摘　　要：目的 探讨塑型垫在肺部手术侧卧位体位安置中使用的可行性和安全性,并与现有的侧卧位摆置方法进行对比以评价其效果,为解决临床现存侧卧位安置的问题提供科学依据.方法 将100例胸外科需取侧卧位行肺部手术的患者,按随机数字表法分为塑型垫组和常规方法组,每组各50例,塑型垫组采用塑型垫进行体位安置,常规方法组采取常规砂袋侧挡板方法进行安置.记录2组患者体位摆置所需的时间;皮肤受压情况;术后随访患者双上肢活动情况;手术结束时发放自行设计的问卷调查医生对2种体位摆置方法的满意度.结果 2组患者体位摆置所需时间塑型垫组为（178.36±24.27）s、常规方法组为（282.06±29.34）s,2组比较差异有统计学意义（t=19.254,P〈0.01）;皮肤损伤压红的发生例数塑型垫组是14例、常规方法组是27例,2组比较差异有统计学意义（χ2=6.986,P=0.008）;医生对患者体位的满意度调查问卷7个项目的总分塑型垫组为（38.34±1.36）分,常规方法组为（29.34±1.29）分,2组比较差异有统计学意义（Z=33.924,均P〈0.01）.结论 研究证明塑型垫用于侧卧位摆置是可行和安全的,手术部位暴露效果好,体位稳定性强.与常规体位摆置方法对比,使用塑型垫进行侧卧位安置可以节约体位摆置耗费的时间,操作步骤更简单方便,更能有效地保护患者身体各部位的生理功能;医生对采用此方法进行侧卧位安置满意度高,值得在临床中推广.Objective To investigate the feasibility and safety of Bean Bag in lateral position placing during pulmonary operations,evaluate its effects by comparing with the routine placing of lateral position by sandbags and side shields, and to provide scientific evidences to solve the existing clinical problems in lateral position placing. Methods One hundred patients with pulmonary surgeries who needed lateral position placing were divided into Bean Bag group and routine method group randomly according to random digit table,50 patients in each group.Bean bag was used in lateral position placing in Bean Bag group,while sandbags and side shields were used in routine lateral position placing in routine method group. The required time for positioning and skin pressing condition, the activity of both upper limbs during postoperative follow-up were recorded.The satisfaction of operating surgeons on this position was acquired by self-designed questionnaire when operation was finished. Results The required time for positioning in Bean Bag group was（178.36±24.27）seconds,and that for positioning in routine method group was （282.06 ± 29.34） seconds, there was statistically significant difference between two groups （t=19.254,P〈0.01）.There were 14 patients who appeared skin injury and press red in Bean Bag group and 27 patients who appeared skin injury and press red in routine method group, and there was statistically significant difference between two groups（χ2=6.986,P=0.008）.In Bean Bag group,the total score of seven items in satisfaction questionnaire of operating surgeons on patient＇s position was 38.34±1.36,while that in routine method group was 29.34±1.29,there was statistically significant difference between two groups（Z=33.924,all P〈0.01）. Conclusions Our study indicated that it was feasible and safe to use Bean Bag to place lateral position.The exposure of operating field was good and the stability of position was strong. Compared with routine position placing method, lateral position placing

关 键 词：体位安置 侧卧位 塑型垫 

分 类 号：R473.6[医药卫生—护理学]