经腋窝腔镜甲状腺手术加压带的制作及应用  

Development and application of compression band for Endoscopic Trans-axillary Thyroid Surgery

作　　者：李盛泽 王书佳[1] 石臣磊[1] 王立平[1] 侯超越 LI Sheng-ze;WANG Shu-jia;SHI Chen-lei;WANG Li-ping;HOU Chao-yue(Dept.of General Surgery IV,the Second Affiliated Hospital of Harbin Medical University,Harbin 150086,China)

机构地区：[1]哈尔滨医科大学附属第二医院普通四科,黑龙江哈尔滨150086

出　　处：《护理学报》2023年第18期75-78,共4页Journal of Nursing（China）

摘　　要：目的 研究一种经腋窝腔镜甲状腺手术加压带的制作并探究其在手术中的应用效果。方法 自制兼顾术后隧道加压作用和舒适穿戴感受的经腋窝腔镜甲状腺手术加压带,其结构分为4个部分:肩部固定带、臂带、腋下带和加压包。将2022年3-10月于我院甲状腺外科行单侧经腋窝入路腔镜甲状腺手术患者80例分为2组,其中试验组40例使用经腋窝腔镜甲状腺手术加压带,对照组40例使用传统胸带式加压带,加压带护理的使用时间为术后至患者出院。对比2组的术区疼痛评分、皮下淤血情况、术后引流情况、术后住院日、加压带使用舒适度及满意度。结果 试验组的疼痛评分显著低于对照组,差异具有统计学意义(P<0.05)。试验组加压带的穿戴舒适度及满意度明显高于对照组,差异具有统计学意义(P<0.05)。结论 应用经腋窝腔镜甲状腺手术加压带可以减轻经腋窝腔镜甲状腺手术患者术后疼痛症状,提高患者穿戴护理器具的舒适度及满意度。Objective To develop a new type of compression band for endoscopic trans-axillary thyroid surgery and to explore its application effect.Methods A self-designed compression band was developed with comfortable wearing and tunnel compression effect.The band comprised four parts of shoulder strap,arm strap,axilla strap and compression bag.Patients who underwent unilateral endoscopic trans-axillary thyroid surgery in department of thyroid surgery of our hospital from March 2022 to October 2022 were divided into experimental group and control group,with 40 cases in each.The patients in the experimental group used the new compression band and those in the control group traditional compression band.The compression band was used after surgery until the discharge.Pain score in the operation area,subcutaneous congestion,postoperative drainage,postoperative hospitalization days,wearing comfort score and patients’satisfaction with the band were compared between the two groups.Results The pain score was significantly lower in the experimental group than that of the control group,and the difference was statistically significant(P<0.05).The score of wearing comfort in the experimental group and the satisfaction rate with the band were significantly higher than those in the control group(P<0.05).Conclusion The new compression band helps to reduce postoperative pain of patients undergoing endoscopic trans-axillary thyroid surgery and improve the comfort and satisfaction of patients.

关 键 词：腔镜甲状腺手术 腋窝入路 护理器具 

分 类 号：R471[医药卫生—护理学]