规范化手术俯卧位摆放流程在行后路椎弓根钉棒系统内固定患者术中的应用  

Effects of standardized operation procedure of prone position placement in patients undergoing posterior vertebral pedicle screw system internal fixation

作　　者：李美芹[1] 姜宇[2] 余淇美[1] Li Meiqin;Jiang Yu;Yu Qimei(Operating Room,Wuxi Second People's Hospital,Wuxi 214000,China;Department of Orthopedics,Wuxi Second People's Hospital,Wuxi 214000,China)

机构地区：[1]无锡市第二人民医院手术室,无锡214000 [2]无锡市第二人民医院骨科,无锡214000

出　　处：《中华现代护理杂志》2022年第33期4651-4655,共5页Chinese Journal of Modern Nursing

基　　金：中国博士后科学基金资助项目(207960);国家自然科学基金资助项目(81602864);江苏省青年医学重点人才培养项目(QNRC2016149);无锡市"双百"中青年医疗卫生拔尖人才培养计划项目;无锡市科技发展资金项目(WX18IIAN020);无锡市卫生健康委科研项目(MS201917/J202010)。

摘　　要：目的探讨规范化手术俯卧位摆放流程在行后路椎弓根钉棒系统内固定患者术中的应用效果。方法采用便利抽样法选择2019年5月一2021年5月在无锡市第二人民医院行后路椎弓根钉棒系统内固定术治疗的98例椎管狭窄患者为研究对象。应用随机数字表法分为对照组和观察组,每组49例。对照组实施常规护理,观察组在此基础上实施规范化手术俯卧位摆放流程管理。比较两组患者完成手术体位摆放所需时间、体位恢复时间、管道意外发生率及压力性损伤总发生率的差异。结果干预后,观察组的体位摆放时间、体位恢复时间均短于对照组,差异有统计意义(P<0.05)。观察组的管道意外发生率为2.04%,低于对照组的12.24%;观察组压力性损伤总发生率为6.12%,低于对照组的18.37%;但两组间比较差异无统计学意义(P>0.05)。结论规范化手术俯卧位摆放流程可明确人员分工,缩短行后路椎弓根钉棒系统内固定术患者的俯卧位体位摆放与恢复时间,在一定程度上降低管道意外和压力性损伤发生风险,为患者提供更安全的手术体验。Objective To explore the effect of standardized operation procedure of prone position placement in patients undergoing posterior vertebral pedicle screw system internal fixation.Methods From May 2019 to May 2021,98 patients with spinal stenosis who were treated with posterior vertebral pedicle screw system internal fixation in Wuxi Second People's Hospital were selected as the study subject by convenience sampling.The patients were randomly divided into the control group and the observation group with 49 cases in each group.The control group was given routine nursing,and the observation group received standardized operation procedure of prone position placement.The time needed to complete the position placement,the time of position recovery,the incidence of pipeline accidents and the total incidence of pressure injuries were compared between the two groups.Results After the intervention,the time of position placement and recovery in the observation group were shorter than those in the control group,with statistical differences(P<0.05).The incidence of pipeline accidents in the observation group was 2.05%,lower than that in the control group 12.24%;the total incidence of stress injury in the observation group was 6.12%,lower than 18.37%in the control group;but there was no significant difference between the two groups(P>0.05).Conclusions Standardized operation procedure of prone position placement can clarify the division of labor,shorten the prone position placement and recovery time of patients undergoing posterior vertebral pedicle screw system internal fixation,to some extent,it can reduce the risk of pipeline accidents and pressure injuries,and provide safe surgical experience for patients.

关 键 词：压力性损伤 手术体位 俯卧位 流程改进 椎管狭窄 内固定术 

分 类 号：R472.3[医药卫生—护理学]