CAJ | 학술논문

目的：探讨个性化侧卧位颈枕用于颈椎术后患者的效果。方法将符合标准的患者106例,采用随机数字表法分为观察组58例和对照组48例；对照组采用常规颈椎术后垫枕,侧卧位时颈枕高度与患者肩颧距相当；观察组患者侧卧位时改用自主设计的带有靠枕与头枕相连的侧卧位颈枕,靠枕支撑于侧卧时悬空的枕部,头下方的枕高根据个性化需求灵活调整。比较两组患者舒适度、切口疼痛及侧卧位维持时间。结果观察组术后第1,2,3天舒适度评分均高于对照组[(66.3±4.8)比(63.4±3．5)分,(68.4±5.3)比(65.1±4.6)分,(71.3±4.8)比(68.3±4.4)分；t值分别为3.461,3.473,3.270；P<0.05]；观察组术后第1,2,3天切口疼痛评分均低于对照组[(5.09±1.33)比(5.88±1.29)分,(4.78±1.30)比(5.52±1.09)分,(4.33±1.13)比(5.06±1.06)分；t值分别为3.127,3.157,3．427；P<0.05]；观察组维持侧卧位时间为(88.6±15.2)min,较对照组(79.3±14.1)min延长,差异有统计学意义(t=-3.239,P=0.002)。结论个性化侧卧位颈枕能提高颈椎术后患者舒适度、侧卧位的维持时间及减轻切口疼痛。
목적：탐토개성화측와위경침용우경추술후환자적효과。방법장부합표준적환자106례,채용수궤수자표법분위관찰조58례화대조조48례；대조조채용상규경추술후점침,측와위시경침고도여환자견권거상당；관찰조환자측와위시개용자주설계적대유고침여두침상련적측와위경침,고침지탱우측와시현공적침부,두하방적침고근거개성화수구령활조정。비교량조환자서괄도、절구동통급측와위유지시간。결과관찰조술후제1,2,3천서괄도평분균고우대조조[(66.3±4.8)비(63.4±3．5)분,(68.4±5.3)비(65.1±4.6)분,(71.3±4.8)비(68.3±4.4)분；t치분별위3.461,3.473,3.270；P<0.05]；관찰조술후제1,2,3천절구동통평분균저우대조조[(5.09±1.33)비(5.88±1.29)분,(4.78±1.30)비(5.52±1.09)분,(4.33±1.13)비(5.06±1.06)분；t치분별위3.127,3.157,3．427；P<0.05]；관찰조유지측와위시간위(88.6±15.2)min,교대조조(79.3±14.1)min연장,차이유통계학의의(t=-3.239,P=0.002)。결론개성화측와위경침능제고경추술후환자서괄도、측와위적유지시간급감경절구동통。
Objective To explore the application effect of personalized lateral decubitus pillow for patients with cervical spine surgery. Methods A totals of 106 patients after cervical spine surgery were recruited and randomly divided into control group (48 cases) and experimental group (58 cases). Patients in the control group used the common pillow when patients lay lateral position-the height of pillow equal to shoulder cheekbone breadth, while experimental group used the personalized lateral decubitus pillow which supported suspended occipitalis and the height of pillow adjusted by individual. The comfort score, incision pain score and last time for lateral position of all patients were compared. Results The comfort score of the experimental group was significantly higher than that of the control group during the first day, second day and the third day after surgery [(66. 3 ± 4. 8) vs (63. 4 ± 3. 5), (68. 4 ± 5. 3) vs (65. 1 ± 4. 6), (71. 3 ± 4. 8) vs (68. 3 ± 4. 4);t=3. 461,3. 473,3. 270, respectively; P <0. 05]. The incision pain score of the experimental group was significantly lower than that of the control group during the first day, second day and the third day after surgery [(5.09±1.33) vs(5.88±1.29),(4.78±1.30) vs(5.52±1.09),(4.33±1.13) vs(5.06±1.06);t=3. 127,3. 157,3. 427, respectively;P<0. 05]. The last time of the experimental group for lateral position were longer than that of control group [(88. 6 ± 15. 2) min vs (79. 3 ± 14. 1) min; t = -3. 239,P =0. 002]. Conclusions It can increase the comfort score, extend the last time for lateral position and lessen incision pain to use the individuation lateral position pillow for patients after cervical spine surgery.