中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
14期
1713-1715
,共3页
吕刚%姚红玲%曹琼华%王龙
呂剛%姚紅玲%曹瓊華%王龍
려강%요홍령%조경화%왕룡
颈椎%前入路手术%体位垫
頸椎%前入路手術%體位墊
경추%전입로수술%체위점
Cervical spine%Anterior approach surgery%Position pad
目的 探讨新型颈前入路颈椎手术体位垫的临床应用效果.方法 2011年1-12月104例行颈前入路颈椎手术的患者,选取符合入选标准的患者100例作为研究对象,其中观察组52例,对照组48例.观察组应用凝胶肩垫、头圈和圆柱状棉质纺布卷组成的新型体位垫；对照组采用凝胶肩垫、头圈、沙袋和辅助软垫.比较两组患者手术体位的摆放时间、手术时间、术野暴露程度、颈部皮肤完好度和体位的牢固度.结果 观察组患者手术体位的摆放时间、手术时间分别为(3.63±0.67) min,(1.35±0.23)h,均少于对照组的(8.23±0.81) min,(1.56±0.47)h,差异均有统计学意义(t分别为26.78,4.59;P ＜0.01)；观察组患者术野暴露度得分为(95.41±5.48)分,高于对照组的(70.24±6.46)分,差异有统计学意义(=32.81,P ＜0.01)；观察组患者体位牢固率和颈部皮肤完好率分别为92.31％,88.46％,均优于对照组的33.33％,33.33％,差异均有统计学意义(x2分别为37.68,32.20;P ＜0.05).结论 新型颈前入路颈椎手术体位垫在手术体位摆放过程中使用简单方便、体位摆放牢固、术野暴露充分,有效地缩短了手术时间,效果显著,具有良好的临床使用价值.
目的 探討新型頸前入路頸椎手術體位墊的臨床應用效果.方法 2011年1-12月104例行頸前入路頸椎手術的患者,選取符閤入選標準的患者100例作為研究對象,其中觀察組52例,對照組48例.觀察組應用凝膠肩墊、頭圈和圓柱狀棉質紡佈捲組成的新型體位墊；對照組採用凝膠肩墊、頭圈、沙袋和輔助軟墊.比較兩組患者手術體位的襬放時間、手術時間、術野暴露程度、頸部皮膚完好度和體位的牢固度.結果 觀察組患者手術體位的襬放時間、手術時間分彆為(3.63±0.67) min,(1.35±0.23)h,均少于對照組的(8.23±0.81) min,(1.56±0.47)h,差異均有統計學意義(t分彆為26.78,4.59;P ＜0.01)；觀察組患者術野暴露度得分為(95.41±5.48)分,高于對照組的(70.24±6.46)分,差異有統計學意義(=32.81,P ＜0.01)；觀察組患者體位牢固率和頸部皮膚完好率分彆為92.31％,88.46％,均優于對照組的33.33％,33.33％,差異均有統計學意義(x2分彆為37.68,32.20;P ＜0.05).結論 新型頸前入路頸椎手術體位墊在手術體位襬放過程中使用簡單方便、體位襬放牢固、術野暴露充分,有效地縮短瞭手術時間,效果顯著,具有良好的臨床使用價值.
목적 탐토신형경전입로경추수술체위점적림상응용효과.방법 2011년1-12월104례행경전입로경추수술적환자,선취부합입선표준적환자100례작위연구대상,기중관찰조52례,대조조48례.관찰조응용응효견점、두권화원주상면질방포권조성적신형체위점；대조조채용응효견점、두권、사대화보조연점.비교량조환자수술체위적파방시간、수술시간、술야폭로정도、경부피부완호도화체위적뢰고도.결과 관찰조환자수술체위적파방시간、수술시간분별위(3.63±0.67) min,(1.35±0.23)h,균소우대조조적(8.23±0.81) min,(1.56±0.47)h,차이균유통계학의의(t분별위26.78,4.59;P ＜0.01)；관찰조환자술야폭로도득분위(95.41±5.48)분,고우대조조적(70.24±6.46)분,차이유통계학의의(=32.81,P ＜0.01)；관찰조환자체위뢰고솔화경부피부완호솔분별위92.31％,88.46％,균우우대조조적33.33％,33.33％,차이균유통계학의의(x2분별위37.68,32.20;P ＜0.05).결론 신형경전입로경추수술체위점재수술체위파방과정중사용간단방편、체위파방뢰고、술야폭로충분,유효지축단료수술시간,효과현저,구유량호적림상사용개치.
Objective To discuss the clinical effect of new position pad for cervical surgery via anterior approach.Methods A total of 100 patients who had cervical surgery via anterior approach from January to December 2011 were chosen and divided into the observation group (n =52) and the control group (n =48).The observation group adopted the new position pad composed by gel shoulder pad,head wear,cylindric cotton fabric roll,while the control group used conventional position pad composed by gel shoulder pad,head wear,sandbag and assistant cushion.Positioning time,operative time,surgical exposure degree,neck skin integrity and position firmness was compared between two groups.Results Positioning and operative time was respectively (3.63 ± 0.67) min and (1.35 ± 0.23) h in the observation group,both shorter than (8.23 ± 0.81) min and (1.56 ± 0.47) h in the control group,and the differences were statistically significant (t =26.78,4.59,respectively; P ＜0.01).The score of surgical exposure degree was (95.41 ±5.48) in the observation group and (70.24 ± 6.46) in the control group,and the difference was statistically significant (t =32.81,P ＜0.01).The rate of position firmness and neck skin integrity was 92.31％ and 88.46％ in the observation group,and 33.33％,33.33％ in the control group,and the differences were statistically significant (x2 =37.68,32.20,respectively; P ＜ 0.05).Conclusions The new position pad for cervical surgery via anterior approach,which can shorten surgical time,improve position firmness and surgical exposure degree,is practical,effective,convenient and therefore has favorable clinical value.
