中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
36期
77-78,79
,共3页
腹腔镜手术%全身麻醉%摆置体位
腹腔鏡手術%全身痳醉%襬置體位
복강경수술%전신마취%파치체위
Laparoscopic surgery%General anesthesia%Placement position
目的：研究分析妇科腹腔镜全身麻醉前后摆置体位的临床疗效。方法：2012年11月-2014年1月在笔者所在医院妇产科共有80例患者需要腹腔镜手术。以数字法随机分成观察组(40例)和对照组(40例)。对观察组的患者采用改良的体位摆置方法，对照组的患者则采用传统的体位摆置方法。对比两组术后疗效、体位摆放时所需时间和所需医护人员以及并发症。结果：两组疗效对比，观察组优良率显著高于对照组(P<0.05)。观察组体位摆放所需时间、医护人员数量均显著少于对照组(P<0.05)。观察组并发症发生率显著低于对照组(P<0.05)。结论：改良后的摆置体位是妇科腹腔镜全身麻醉前后的首选，不仅可以明显提升治疗效果，还可以减少患者的手术时间以及尽快使患者恢复健康，安全性较好，并发症概率低，值得临床推荐。
目的：研究分析婦科腹腔鏡全身痳醉前後襬置體位的臨床療效。方法：2012年11月-2014年1月在筆者所在醫院婦產科共有80例患者需要腹腔鏡手術。以數字法隨機分成觀察組(40例)和對照組(40例)。對觀察組的患者採用改良的體位襬置方法，對照組的患者則採用傳統的體位襬置方法。對比兩組術後療效、體位襬放時所需時間和所需醫護人員以及併髮癥。結果：兩組療效對比，觀察組優良率顯著高于對照組(P<0.05)。觀察組體位襬放所需時間、醫護人員數量均顯著少于對照組(P<0.05)。觀察組併髮癥髮生率顯著低于對照組(P<0.05)。結論：改良後的襬置體位是婦科腹腔鏡全身痳醉前後的首選，不僅可以明顯提升治療效果，還可以減少患者的手術時間以及儘快使患者恢複健康，安全性較好，併髮癥概率低，值得臨床推薦。
목적：연구분석부과복강경전신마취전후파치체위적림상료효。방법：2012년11월-2014년1월재필자소재의원부산과공유80례환자수요복강경수술。이수자법수궤분성관찰조(40례)화대조조(40례)。대관찰조적환자채용개량적체위파치방법，대조조적환자칙채용전통적체위파치방법。대비량조술후료효、체위파방시소수시간화소수의호인원이급병발증。결과：량조료효대비，관찰조우량솔현저고우대조조(P<0.05)。관찰조체위파방소수시간、의호인원수량균현저소우대조조(P<0.05)。관찰조병발증발생솔현저저우대조조(P<0.05)。결론：개량후적파치체위시부과복강경전신마취전후적수선，불부가이명현제승치료효과，환가이감소환자적수술시간이급진쾌사환자회복건강，안전성교호，병발증개솔저，치득림상추천。
Objective:To study and analysis curative effect of the clinical laparoscopic placement position before and after general anesthesia in the department of gynaecology.Method:From November 2012 to January 2014,a total of 80 cases of obstetrics and gynecology hospital in patients with laparoscopic surgery may be necessary.In digital method they were randomly divided into observation group(40 cases) and control group(40 cases).The observation group was taken by modified position method,the control group of patients was taken by traditional position method.Two groups of curative effect,postoperative position, the required time and the medical staff required and complications were compared.Result:Two groups of curative effect comparison,the observation group was significantly higher than that of control group(P<0.05).The observation group position required time,staff number were significantly less than that of the control group(P<0.05). The complication rate of observation group was significantly lower than that of the control group(P<0.05).Conclusion:The modified card position is the first selection of gynecological laparoscopy before and after general anesthesia.It not only can significantly enhance treatment effect,but also can reduce the patient’s operation time,and it can make patient restore health as soon as possible.It has good security,low probability of complications,worthy of clinical recommendations.
