神经外科侧卧位手术的体位改良联合流程化安置  

Modified surgical position combined with process-flow-based positioning of patients in neurosurgery

作　　者：苏清彬 彭文君[1] 叶丽群 Su Qingbin;Peng Wenjun;Ye Liqun(Department of Operation and Anesthesiology,Zhongshan People′s Hospital,Zhongshan 528403,China)

机构地区：[1]中山市人民医院手术麻醉一科,广东中山528403

出　　处：《护理学杂志》2021年第7期43-46,共4页Journal of Nursing Science

摘　　要：目的探讨体位改良联合流程化安置方法在神经外科侧卧位手术的应用效果。方法将神经外科行侧卧位手术患者60例,按照手术时间单双日分为观察组和对照组各30例。观察组采用体位改良联合流程化安置方法,对照组采用常规体位安置方法,比较两组手术体位安置耗时、体位稳定性、术后并发症及手术人员满意情况。结果观察组安置体位时间、术中体位移动情况显著短于和少于对照组,术后压力性损伤、外周神经损伤和颈部拉伤发生率显著低于对照组,医生、护士和麻醉医生满意度显著高于对照组(P<0.05,P<0.01)。结论采用体位改良联合流程化安置方法可降低神经外科手术风险及体位并发症发生率,提高手术人员满意度。Objective To explore the effect of modified surgical position combined with process-flow-based positioning of patients in neurosurgery.Methods A total of 60 patients to receive neurosurgery in lateral position were evenly divided into 2 groups:the intervention group were subjected to modified surgical position combined with process-flow-based positioning method,while the control group were subjected to conventional positioning method.The time spent on positioning,the stability of position,incidence rate of post-operative complications,and satisfaction of the surgical staff,were compared between the 2 groups.Results The time spent on positioning is shorter,body movement during operation is fewer in the intervention group than in the control group;incidence rates of postoperative pressure injury,peripheral nerve injury and neck strain were lower in intervention group than in the control group(P<0.05,P<0.01).Furthermore,doctors,nurses and anesthesiologists had higher satisfaction with the intervention group than with the control group(P<0.05,P<0.01).Conclusion In neurosurgical lateral surgery,the use of modified position and process-flow-based positioning method not only reduces the risk of surgery and the incidence of position-related complications,but also increases the satisfaction of surgical staff.

关 键 词：神经外科 手术体位 侧卧位 流程 手术安全 手术护理 

分 类 号：R472.3[医药卫生—护理学]