摘要
目的探讨体位干预在妇科腹腔镜手术体位中的影响,对传统手术体位摆放方法进行改良,减少手术并发症的发生.方法选择妇科腹腔镜手术成人患者60例,随机分成两组:传统组患者安置手术体位为截石位;干预组患者取平卧位,两侧髋关节外展,双下肢水平分开100°～110°.术中监测心率、无创血压、心电图、经皮血氧饱和度及术后下肢神经损伤等临床症状.结果传统组较干预组血压、心率波动明显,下肢疼痛麻木等不良反应显著高于干预组(P＜0.05);干预组体位安置方便,术中手术野暴露满意.结论干预体位可以预防和减少传统手术体位引起的并发症,提高手术安全性.
Objective To study the influence of posture intervention in gynecological laparoscopic surgery by means of modifying the traditional body positioning so as to reduce intraoperative complication. Methods 60 patients who underwent gynecological laparoscopic surgery were divided at random into 2 groups. Patients in the traditional position group laid on a lithotomic position while patients in the posture intervention group assumed a supine position with the lower limbs abducted to 100°～ 110°. The intraoperative heart rates,noninvasive measurement of blood pressure, ECG and SpO2 were monitored. The intraoperative and postoperative clinical presentations of potential nerve injury to the lower limbs were also recorded. Results Adverse reactions in the patients of the traditional position group were higher than those in the intervention group, including more obvious fluctuation of blood pressure and heart rate during operation, and more evident numbness of the lower limbs. Conclusion Body position intervention is useful to reduce complications resuiting from traditional positioning and justifiable to clinical practice.
出处
《解放军护理杂志》
2005年第9期15-16,共2页
Nursing Journal of Chinese People's Liberation Army
关键词
妇科
腹腔镜
体位
手术
护理
gynecological department
laparoscopy posture
operation nursing
作者简介
张丽青（1975-），浙江温州人，主管护师，大专，主要从事手术室护理工作．
