中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
34期
67-68
,共2页
头面部U形头托摆放法%头面部三点摆放法%全麻俯卧位%手术室护理方法
頭麵部U形頭託襬放法%頭麵部三點襬放法%全痳俯臥位%手術室護理方法
두면부U형두탁파방법%두면부삼점파방법%전마부와위%수술실호리방법
Head and facial U shaped head placement method%Head and face three point placement method%General anesthesia in prone position%Operation room nursing method
目的：探讨全麻插管后手术患者术中分别采取头面部普通U形头托摆放法和头面部三点摆放法后患者头面部并发症发生率，比较两种手术室护理方法对全麻俯卧位患者的保护效果。方法：以本院收治的56例全麻下采用俯卧位行腰椎手术患者作为研究对象，依据头面部摆放方法的不同，随机分为试验组和对照组，每组28例。对照组采取头面部普通U形头托摆放法，试验组采用头面部三点摆放法。观察两组患者是否出现皮肤压红或受损、眼部红肿畏光甚至视力减退等俯卧位头面部并发症，比较两组患者头面部并发症发生率。结果：试验组皮肤压红1例，无患者眼部出现不适，头面部并发症发生率为3.6%；对照组皮肤压红或受损8例，其中1例患者眼部出现红肿畏光现象，头面部并发症发生率为28.6%。结论：相较于头面部普通U形头托摆放法，头面部三点摆放法可有效降低全麻俯卧位患者头面部并发症发生率，值得进一步推广。
目的：探討全痳插管後手術患者術中分彆採取頭麵部普通U形頭託襬放法和頭麵部三點襬放法後患者頭麵部併髮癥髮生率，比較兩種手術室護理方法對全痳俯臥位患者的保護效果。方法：以本院收治的56例全痳下採用俯臥位行腰椎手術患者作為研究對象，依據頭麵部襬放方法的不同，隨機分為試驗組和對照組，每組28例。對照組採取頭麵部普通U形頭託襬放法，試驗組採用頭麵部三點襬放法。觀察兩組患者是否齣現皮膚壓紅或受損、眼部紅腫畏光甚至視力減退等俯臥位頭麵部併髮癥，比較兩組患者頭麵部併髮癥髮生率。結果：試驗組皮膚壓紅1例，無患者眼部齣現不適，頭麵部併髮癥髮生率為3.6%；對照組皮膚壓紅或受損8例，其中1例患者眼部齣現紅腫畏光現象，頭麵部併髮癥髮生率為28.6%。結論：相較于頭麵部普通U形頭託襬放法，頭麵部三點襬放法可有效降低全痳俯臥位患者頭麵部併髮癥髮生率，值得進一步推廣。
목적：탐토전마삽관후수술환자술중분별채취두면부보통U형두탁파방법화두면부삼점파방법후환자두면부병발증발생솔，비교량충수술실호리방법대전마부와위환자적보호효과。방법：이본원수치적56례전마하채용부와위행요추수술환자작위연구대상，의거두면부파방방법적불동，수궤분위시험조화대조조，매조28례。대조조채취두면부보통U형두탁파방법，시험조채용두면부삼점파방법。관찰량조환자시부출현피부압홍혹수손、안부홍종외광심지시력감퇴등부와위두면부병발증，비교량조환자두면부병발증발생솔。결과：시험조피부압홍1례，무환자안부출현불괄，두면부병발증발생솔위3.6%；대조조피부압홍혹수손8례，기중1례환자안부출현홍종외광현상，두면부병발증발생솔위28.6%。결론：상교우두면부보통U형두탁파방법，두면부삼점파방법가유효강저전마부와위환자두면부병발증발생솔，치득진일보추엄。
Objective:To investigate the head and face complications after general anesthesia intubation in patients with head and face were taken general U shaped head display method and the head face three point placement method,and the protection effect of patient on general anesthesia in prone position were compared between the two groups. Method:Fifty-six cases of patients in the hospital with general anesthesia in prone position of lumbar operation were selected as research objects.On the basis of the head and face different display method,they were randomly divided into the control group and the experimental group,28 cases in each group.The control group was given the head and face of ordinary U shaped head display method while the experimental group was used the head face three point placement method of operation. The indicators between the two groups were compared after operation,such as appear red or damaged skin pressure,sore eyes photophobia and vision loss prone position the head and face complications and so on.Result:The experimental group had 1 case of red,with no eye discomfort,the complication rate of head and face was 3.6%;The control group had 8 cases of red or damaged skin pressure,including one case with ocular redness photophobia phenomenon,the occurrence rate of complications of head and face was 28.6%.Conclusion:Compared to the head and face of general U shaped head display method,head and face three point placement method can effectively reduce the incidence of complications in patients with general anesthesia in prone position,worthy of further promotion.
