国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
22期
3365-3368
,共4页
甲状腺%手术体位%护理
甲狀腺%手術體位%護理
갑상선%수술체위%호리
Thyroid gland%Operating position%Nursing
目的 探讨改进后的甲状腺手术体位对病人出现呕吐、疼痛等情况的影响.方法 将206例甲状腺手术病人随机分为A、B两组,A组121例采用常规头后仰卧位,B组85例采用改进体位(尽量减少头颈后仰幅度和时间),观察比较两组病人出现疼痛、呕吐、呼吸、循环功能变化情况.结果A组病人各项观察指标术中与术前比较差异有显著性(P＜0.01),B组病人的各项指标术中与术前比较差异无显著性(P＞0.05),术中B组病人的生命体征比A组更为稳定(P＜0.01),出现疼痛、呕吐的情况减少.结论 采用改进后的灵活手术体位可以降低病人术中疼痛和呕吐的发生,使病人的各项参数趋于稳定,有利于手术顺利完成.
目的 探討改進後的甲狀腺手術體位對病人齣現嘔吐、疼痛等情況的影響.方法 將206例甲狀腺手術病人隨機分為A、B兩組,A組121例採用常規頭後仰臥位,B組85例採用改進體位(儘量減少頭頸後仰幅度和時間),觀察比較兩組病人齣現疼痛、嘔吐、呼吸、循環功能變化情況.結果A組病人各項觀察指標術中與術前比較差異有顯著性(P＜0.01),B組病人的各項指標術中與術前比較差異無顯著性(P＞0.05),術中B組病人的生命體徵比A組更為穩定(P＜0.01),齣現疼痛、嘔吐的情況減少.結論 採用改進後的靈活手術體位可以降低病人術中疼痛和嘔吐的髮生,使病人的各項參數趨于穩定,有利于手術順利完成.
목적 탐토개진후적갑상선수술체위대병인출현구토、동통등정황적영향.방법 장206례갑상선수술병인수궤분위A、B량조,A조121례채용상규두후앙와위,B조85례채용개진체위(진량감소두경후앙폭도화시간),관찰비교량조병인출현동통、구토、호흡、순배공능변화정황.결과A조병인각항관찰지표술중여술전비교차이유현저성(P＜0.01),B조병인적각항지표술중여술전비교차이무현저성(P＞0.05),술중B조병인적생명체정비A조경위은정(P＜0.01),출현동통、구토적정황감소.결론 채용개진후적령활수술체위가이강저병인술중동통화구토적발생,사병인적각항삼수추우은정,유리우수술순리완성.
Objective To explore more suitable patient positions for thyroid gland operation,and improve the patients' vital signs and decrease vomiting and pain during and after operating.Methods The patients were divided into two groups.121 patients in Group A were operated by common position,85 patients of Group B were operated by flexible position,then we observed the changes of heart rate,respiratory rate,blood pressure,blood oxygen saturation,vomiting times and patient number feeling pain.Results These indexes of Group B were obviously lower than those of Group A.Conclusion The improved flexible position could reduce vomiting and pain,stabilize vital signs of operated patients.
