个性化颈过伸位训练在甲状腺切除术患者中的应用效果  

Application effects of personalized cervical hyperextension position training in patients undergoing thyroidectomy

作　　者：金小霞 金贵浩 金小清 李苗[1] JIN Xiaoxia;JIN Guihao;JIN Xiaoqing;LI Miao(Department of Thyroid and Breast Surgery of the First Affiliated Hospital of Nanyang Medical College,Nanyang 473000 Henan,China)

机构地区：[1]南阳医学高等专科学校第一附属医院甲乳外科,河南南阳473000

出　　处：《中国民康医学》2024年第24期163-165,169,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察个性化颈过伸位训练在甲状腺切除术患者中的应用效果。方法:选取2021年11月至2023年1月于该院行甲状腺切除术的101例患者进行前瞻性研究,采用随机数字表法将其分为对照组50例和观察组51例。对照组采用常规护理,观察组在对照组基础上采用个性化颈过伸位训练,比较两组术后12、24 h伤口引流量、渗血时间、体位摆放前后椎动脉血流动力学变化[左右两侧血流量变化(ΔFv)、平均血流速度变化(ΔVm)]、术后颈部疼痛程度[视觉模拟评分法(VAS)]评分、疼痛消失时间和术后1个月内甲状腺手术体位综合征发生率。结果:观察组术后12、24 h伤口引流量均少于对照组,渗血时间短于对照组,差异有统计学意义(P<0.05);观察组体位摆放前后左、右侧椎动脉ΔFv、ΔVm均小于对照组,差异有统计学意义(P<0.05);观察组术后6、12、24 h的VAS评分均低于对照组,疼痛消失时间短于对照组,差异有统计学意义(P<0.05);观察组术后甲状腺手术体位综合征发生率为3.92%(2/51),低于对照组的20.00%(10/50),差异有统计学意义(P<0.05)。结论:个性化颈过伸位训练应用于甲状腺切除术患者可减少伤口引流量,缩短渗血时间和疼痛消失时间,减小体位摆放前后椎动脉血流动力学变化,降低VAS评分和术后甲状腺手术体位综合征发生率,效果优于单纯常规护理。Objective:To observe application effects of personalized cervical hyperextension position training in patients undergoing thyroidectomy.Methods:A prospective study was conducted on 101 patients who underwent thyroidectomy in the hospital from November 2021 to January 2023.They were divided into control group(50 cases)and observation group(51 cases)using the random number table method.The control group was given routine nursing,while the observation group was given the personalized cervical hyperextension position training on the basis of that of the control group.The wound drainage volume and the oozing time 12 and 24 h after the surgery,the vertebral artery hemodynamic changes[left and right blood flow changes(ΔFv),mean blood flow velocity changes(ΔVm)]before and after the posture placement,the postoperative neck pain degree[visual analogue scale(VAS)]score,the pain disappearance time,and the incidence of postural syndrome within 1 month after the surgery were compared between the two groups.Results:The wound drainage volume 12 and 24 h after the surgery in the observation group were less than those in the control group,the oozing time was shorter than that in the control group,and the differences were statistically significant(P<0.05).TheΔFv andΔVm of left and right vertebral artery in the observation group were smaller than those in the control group before and after the position placement,and the differences were statistically significant(P<0.05).The VAS scores of the observation group at 6,12 and 24 h after the surgery were lower than those of the control group,the pain disappearance time was shorter than that of the control group,and the differences were statistically significant(P<0.05).Further,the incidence of postural syndrome after thyroid surgery in the observation group was 3.92%(2/51),which was lower than 20.00%(10/50)in the control group,and the difference was statistically significant(P<0.05).Conclusions:The personalized cervical hyperextension position combined with postoperative cold compress

关 键 词：个性化颈过伸位 甲状腺切除术 椎动脉血流动力学 疼痛评分 甲状腺手术体位综合征 

分 类 号：R473.6[医药卫生—护理学]