改良侧卧位固定在经左胸后外侧微创切口入路食管癌根治术患者手术室体位护理中的应用  

Application of Modified Lateral Decubitus Fixation in Operating Room Postural Care for Patients Undergoing Radical Resection of Esophageal Cancer through Left Posterolateral Minimally Invasive Incision

作　　者：虎曼秋 孙甜甜 张丽 HU Man-qiu;SUN Tian-tian;ZHANG Li(Department of Anesthesiology,Xinyang Central Hospital,Xinyang 464099,China)

机构地区：[1]信阳市中心医院麻醉科,信阳464099

出　　处：《四川解剖学杂志》2023年第2期131-133,145,共4页Sichuan Journal of Anatomy

摘　　要：目的:探究改良侧卧位固定在经左胸后外侧微创切口入路食管癌根治术患者手术室体位护理中的应用效果.方法:选取2020年2月至2022年2月于本院拟行经左胸后外侧微创切口入路食管癌根治术的86例患者作为研究对象.采用随机数字表法将患者分为观察组(n=43,改良侧卧位固定护理)和对照组(n=43,传统侧卧位护理).比较两组患者的手术相关指标、术中生命体征、并发症发生率.结果:观察组术野暴露评分高于对照组,体位安置时间、手术时间均短于对照组,差异均有统计学意义(P<0.05).体位安置后3min,观察组心率、收缩压、舒张压、气道压均较对照组低,差异均有统计学意义(P<0.05).观察组并发症发生率低于对照组,差异有统计学意义(P<0.05).结论:改良侧卧位固定体位护理应用于经左胸后外侧微创切口入路食管癌根治术中,可提高手术效率,稳定术中患者生命体征,减少并发症率.Objective:To explore the effect of modified lateral decubitus position fixed in operating room in patients undergoing radical resection of esophageal cancer through left posterolateral minimally invasive incision.Methods:Eightysix patients who planned to undergo radical resection of esophageal cancer through left posterolateral thoracic minimally invasive incision in our hospital from February 2020 to February 2022 were selected in this study.The patients were randomly divided into observation group(n=43,modified lateral decubitus fixed care)and control group(n=43,traditional lateral postural care).Operation-related indexes,intraoperative vital signs and incidence of complication were compared between the two groups.Results:The surgical field exposure score was higher in observation group than that in the control group(P<0.05).The position placement time,the operation time both were shorter in observation group than those in the control group.The heart rate,systolic blood pressure,diastolic blood pressure and airway pressure in the observation group were all lower than those in the control group 3min after postural placement(P<0.05).The incidence of complications was lower in observation group than that in the control group(P<0.05).Conclusion:Modified lateral decubitus fixed postural care can improve surgical efficiency,stabilize intraoperative vital signs and reduce incidence of complications in the radical resection of esophageal cancer through the left posterolateral thoracic minimally invasive incision.

关 键 词：食管癌 改良 侧卧位 固定 术野 

分 类 号：R473[医药卫生—护理学]