两种体位垫4种摆设法对脊柱手术患者的效果比较  

Effect Comparison of Two Body Cushion and Four Placement Methods During Spinal Surgery

作　　者：李么琴[1] 何卓文[1] 李敏燕[1] LI Yaoqin;HE Zhuowen;LI Minyan(Zhaoqing First People＇s Hospital,Zhaoqing 526020,China)

机构地区：[1]肇庆市第一人民医院,广东肇庆526020

出　　处：《现代医院》2018年第8期1241-1244,共4页Modern Hospitals

摘　　要：目的比较两种体位垫4种摆法在脊柱手术患者中的应用效果。方法收集2016年1月—2017年10月间进行脊柱手术患者,采用数字随机抽取法选取120例,将其按体位垫及体位摆放不同分为4组,每组30例患者,对每组患者手术出血量、术野肌肉紧张度及术后皮肤软组织压疮状况进行统计学分析。结果Ⅰ、Ⅱ组患者的头面部受压伤害程度较Ⅲ、Ⅳ组患者严重(P<0.05),Ⅱ组主刀医生诉术野肌肉紧张发生率较其他三组高(P<0.05),Ⅰ组术中出血量明显增多(P<0.05)。结论脊柱手术采用何种体位摆法应根据患者的身高、体质量等其自身因素及手术需要作综合评估,并注意各支撑点的受力均衡,术中密切注意体位的变化和受力点保护,对患者的手术安全和防止护理并发症起到积极的预防作用。Objective To compare the effects of two position cushion and four placement methods during spinal surgery. Methods Patients who underwent spinal surgery between January 2016 and October 2017 were collected,and 120 cases of spinal surgery were chosen by digital random selection. They were divided into 4 groups according to their body cushions and different placements,30 patients in each group. The statistical analysis was made on the basis of operation bleeding,operation field muscle tension and the condition of skin soft tissue pressure sore after operation. Results The injury degree of head and face in group Ⅰ and group Ⅱ was more severe than that in group Ⅲ and group Ⅳ（P〈0. 05）. The incidence of muscle tension in group Ⅱsurgeons was higher than that of the other three groups（P〈0. 05）,and the amount of bleeding in group I increased significantly（P〈0. 05）. Conclusion The posture of the patients should be evaluated according to their height,weight and the need of operation,and attention should be paid to the different supporting points.

关 键 词：体位垫 摆设法 效果 

分 类 号：R473.6[医药卫生—护理学]