CAJ | 학술논문

目的：探讨机器人辅助腹腔镜肾部分切除手术后患者最舒适的卧位。方法抽取80例行机器人腹腔镜肾部分切除手术后的患者，随机分为观察组和对照组，观察组患者手术后经医生允许采用早期舒适卧位，即颈部垫软枕、腰部垫20 cm ×20 cm硬枕仰卧位；对照组患者术后按传统方法采用平卧位。术后前2 d进行观察比较，找出患者最舒适卧位。结果观察组患者睡眠、情绪稳定及腰肌酸痛情况明显优于对照组（ P＜0．05）。结论机器人辅助腹腔镜肾部分切除手术后卧床期间采取颈部垫软枕、腰部垫20 cm ×20 cm硬枕的仰卧位方式，患者最舒适。
목적：탐토궤기인보조복강경신부분절제수술후환자최서괄적와위。방법추취80례행궤기인복강경신부분절제수술후적환자，수궤분위관찰조화대조조，관찰조환자수술후경의생윤허채용조기서괄와위，즉경부점연침、요부점20 cm ×20 cm경침앙와위；대조조환자술후안전통방법채용평와위。술후전2 d진행관찰비교，조출환자최서괄와위。결과관찰조환자수면、정서은정급요기산통정황명현우우대조조（ P＜0．05）。결론궤기인보조복강경신부분절제수술후와상기간채취경부점연침、요부점20 cm ×20 cm경침적앙와위방식，환자최서괄。
Objective To study the most comfortable lying position for post-operative patients with robot assisted laparoscopic partial nephrectomy .Method 80 post-operative patients with robot assisted laparoscopic partial nephrec-tomy surgery were randomly divided into observation group and the control group ,patients observed by doctors after surgery to allow the use of early comfort lying ,that is ,a soft pillow neck cushion ,waist cushion 20 cm × 20 cm hard pillow supine position ,tupatients in control group by traditional methods in supine position ,after 2 days of ob-servation and comparison ,to find the most comfortable lying position .Result The sleep ,comfort and lumbar pain in observation group was obviously better than that of control group (P<0 .05) .Conclusion Robot assisted laparoscop-ic partial nephrectomy surgery took the neck cushion soft pillow ,lumbar pillow pad 20 cm × 20 cm hard way the su-pine position ,the patient feels most comfortable .