新型俯卧位垫在肥胖患者脊柱术中的应用效果  

Application effect of the new prone-positioning cushion in spinal surgery of obese patients

作　　者：尹鹏英[1] 王莉[1] 何二兴[2] 董庆龙[3] YIN Peng-ying;WANG Li;HE Er-xing;DONG Qing-long(Operating Room,the First Affiliated Hospital of Guangzhou Medical University,Guangdong Province,Guangzhou515200,China;Department of Orthopedics,the First Affiliated Hospital of Guangzhou Medical University,Guangdong Province,Guangzhou515200,China;Department of Anesthesiology,the First Affiliated Hospital of Guangzhou Medical University,Guangdong Province,Guangzhou515200,China)

机构地区：[1]广州医科大学附属第一医院手术室,广东广州515200 [2]广州医科大学附属第一医院骨科,广东广州515200 [3]广州医科大学附属第一医院麻醉科,广东广州515200

出　　处：《中国当代医药》2020年第7期211-213,共3页China Modern Medicine

基　　金：广东省广州市卫生和计划生育科技项目(20181A 010053)。

摘　　要：目的探讨新型俯卧位垫在肥胖患者脊柱术中的应用效果及对其呼吸循环系统并发症的影响。方法选取2018年1~10月在我院接受脊柱手术治疗的60例肥胖患者作为研究对象,采用随机数字表法将其分为对照组和实验组,每组各30例。对照组采用常规回字型体位垫,实验组采用新型俯卧位垫,比较两组的呼吸循环指标、皮肤受压情况。结果平卧位10 min时,两组气道压力、呼气末二氧化碳分压、中心静脉压及动脉血压比较,差异无统计学意义(P>0.05);俯卧位20、40 min,实验组气道压力、呼气末二氧化碳分压、中心静脉压及动脉血压均低于对照组,差异有统计学意义(P<0.05);两组水泡发生率比较,差异无统计学意义(P>0.05);实验组压疮、破损、红斑、皮肤压痕发生率低于对照组,差异均有统计学意义(P<0.05)。结论脊柱手术肥胖患者用新型俯卧位垫,可有效控制呼吸循环系统并发症发生风险,降低皮肤受压发生率。Objective To investigate the application effect of new prone-positioning cushion in the spinal surgery of obese patients and its influence on the complications of respiratory and circulatory system.Methods Sixty obese patients who underwent spinal surgery in our hospital from January to October 2018 were enrolled in the study,they were divided into control group(n=30)and experimental group(n=30)according to random number table mtehod.The control group adopted conventional type of hollow square cushion,and the experimental group used a new prone-positioning cushion.The respiratory circulation index and skin compression of the two groups were compared.Results There were no significant differences in airway pressure,end-tidal carbon dioxide partial pressure,central venous pressure and arterial blood pressure between the two groups in the supine position for 10 min(P>0.05).The airway pressure,the end-tidal carbon dioxide partial pressure,the central venous pressure and the arterial blood pressure in experimental group in 20,40 min prone position were all lower than those in control group,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of vesicles between the two groups(P>0.05).The incidence of pressure sores,skin damage,erythema and skin indentation in the experimental group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion In the spinal surgery,obese patients using a new prone-positioning cushion can effectively control the risk of complications of the respiratory and circulatory system and reduce the incidence of skin compression.

关 键 词：脊柱手术 肥胖 新型俯卧位垫 常规回字型体位垫 呼吸循环系统 

分 类 号：R473.6[医药卫生—护理学]