CAJ | 학술논문

目的：探讨在侧卧位手术中以托脚架代为手托的应用效果。方法：选择2010年1月至2013年9月200例要摆放侧卧位做手术的患者随机分成实验组和对照组，每组100例，实验组采用托脚架为手术侧卧位手托，对照组采用传统双层托手架，比较两组病人舒适度、手术医生满意度、术野暴露情况、术中观察和操作。结果：实验组术后首日共有8例出现上肢麻痹症状，对照组27例，两组比较差异有统计学意义（ P ＜0．01）；实验组病人舒适度评分为（2．5±1．2）分，手术医生满意度评分为（2．8±0．9）分，对照组两项评分分别为（1．7±0．9）、（2．2±0．7），两组比较，差异有统计学意义（ P ＜0．01）。结论：托脚架为手术侧卧位手托，提高了病人的舒适性，减少手术并发症的发生，为手术提供了理想的操作空间，提高了手术的安全性和手术整体护理质量，值得基层医院推广应用。
목적：탐토재측와위수술중이탁각가대위수탁적응용효과。방법：선택2010년1월지2013년9월200례요파방측와위주수술적환자수궤분성실험조화대조조，매조100례，실험조채용탁각가위수술측와위수탁，대조조채용전통쌍층탁수가，비교량조병인서괄도、수술의생만의도、술야폭로정황、술중관찰화조작。결과：실험조술후수일공유8례출현상지마비증상，대조조27례，량조비교차이유통계학의의（ P ＜0．01）；실험조병인서괄도평분위（2．5±1．2）분，수술의생만의도평분위（2．8±0．9）분，대조조량항평분분별위（1．7±0．9）、（2．2±0．7），량조비교，차이유통계학의의（ P ＜0．01）。결론：탁각가위수술측와위수탁，제고료병인적서괄성，감소수술병발증적발생，위수술제공료이상적조작공간，제고료수술적안전성화수술정체호리질량，치득기층의원추엄응용。
Objiective:To explore the clinical application of foot rests for arm support in the lateral position operations .Methods:200 cases of patients were randomly divided into the experimental group (100) and the control group (100).Foot rests were used for the experimental group , while the traditional double hand rests were used for the control group .Then the comfort degree of patients, incidence of complications, and satis-faction of doctors between the two groups were compared .Results:8 patients in the experimental group felt numb in the arms on the first day after the operations and 27 patients had the same symptom in the control group.The difference was significant ( P <0.01).The comfort score of pa-tients and the satisfaction score of doctors in the experimental group were 2.5 ±1.2 and 2.8 ±0.9 respectively, while the scores of the control group were 1.7 ±0.9 and 2.2 ±0.7 respectively.the difference was significant ( P <0.01).Conclusion:Using foot rest in lateral position oper-ations makes patients more comfortable , reducing complications and providing ideal conditions for operation and nursing .