CAJ | 학술논문

目的：探讨改良侧俯卧位在乙状窦后入路听神经瘤切除术患者中的应用效果。方法选取我院收治经乙状窦后入路听神经瘤切除术患者46例，按随机数表法分为对照组和观察组，每组各23例。对照组采用传统方法安置侧俯卧位，观察组采用改良侧俯卧位。观察2组患者手术体位安置时间、术后6h受压侧肩峰皮肤压疮及术后6d内肩臂酸痛、上肢麻木发生率。结果观察组手术体位安置时间短于对照组，观察组术后6 h受压侧肩峰皮肤压疮发生率低于对照组（P＜0.05），观察组术后6 d内肩臂酸痛、上肢麻木发生率低于对照组（P＜0.05）。结论经乙状窦后入路听神经瘤切除术患者采用改良侧俯卧位，手术体位安置时间较短，术后受压侧肩峰皮肤压疮、肩臂酸痛、上肢麻木发生率较低，同时保证患者手术中舒适与安全。
목적：탐토개량측부와위재을상두후입로은신경류절제술환자중적응용효과。방법선취아원수치경을상두후입로은신경류절제술환자46례，안수궤수표법분위대조조화관찰조，매조각23례。대조조채용전통방법안치측부와위，관찰조채용개량측부와위。관찰2조환자수술체위안치시간、술후6h수압측견봉피부압창급술후6d내견비산통、상지마목발생솔。결과관찰조수술체위안치시간단우대조조，관찰조술후6 h수압측견봉피부압창발생솔저우대조조（P＜0.05），관찰조술후6 d내견비산통、상지마목발생솔저우대조조（P＜0.05）。결론경을상두후입로은신경류절제술환자채용개량측부와위，수술체위안치시간교단，술후수압측견봉피부압창、견비산통、상지마목발생솔교저，동시보증환자수술중서괄여안전。
Objective To explore the effect of modified lateral prone position in acoustic neuroma resection via retrosigmoid approach, and to explore its comfort and safety. Methods Forty-six patients receiving acoustic neuroma resection were randomly divided into control and experiment group by random number table method with 23 patients in each group. In control group we set traditional lateral prone position, and modified lateral prone position in experiment group. Then we observed setting duration, pressure sores within 6 hours after operation and shoulder & arm pain, upper extremity numbness within 6 days after operation between two groups. Results There was significant difference in position setting duration between two groups (P<0.05). The rate of stage I pressure sores on acromion in experiment group was lower than that of control and the difference was statistically significant ( P<0.05). The difference in situation of shoulder & arm pain, upper extremity numbness within 6 days after operation between two groups was statistically significant (P<0.05). Conclusion It is convenient for nurses and surgeries to set modified lateral prone position in acoustic neuroma resection via retrosigmoid approach, which benefits patients ’ comfort and safety and the prevention of adverse events induced by postures.