摘要
目的 :预防截石位引起的多种并发症。方法 :对传统截石位进行改良摆放 ,选择截石位成人手术 140例 ,随机分为实验组和对照组各 70例 ,实验组摆放体位前行踝部大隐静脉穿刺 ,插入 1 2mm套管针 ,再用深静脉测压管与HP12 0 5多参数监护仪的CVP模块和传感器连接。对照组为传统摆放。分别在截石位摆放前、托腿后、术后 2h、术毕放腿前、后测定患者大隐静脉压力、动脉BP、HR、SPO2 ,并于术后 2 4、 48和 72h随访患者 ,观察有无下肢疼痛、麻木及运动异常。结果 :两组患者动脉BP、HR于托腿前后、放腿前后差异有显著性 (P <0 0 5 ) ,大隐静脉压力两组各时期比较差异有高度显著性 (P <0 0 1) ,且对照组托腿后压力明显升高并随着时间的延长而加剧 ;术后随访表明 ,实验组下肢疼痛持续时间、麻木例数及下肢活动时间明显好于对照组。结论 :改良摆放截石体位可有效地预防术后并发症。
Objective:To prevent complication of operation when lithotomy positi^on is accepted Method:We have modified traditional lithotomy position,140 cases were randomly divided into experimental group and control group accupuncture large saphenous vein,deep vein pressure measurement were connected with Hp 1205 monitor,dynamic observation were taken about deep vein pressure,artery BP,HP,SPO 2and numbness,pain abnormal motivati^on Result:Control group has significantly higher elevation of(P<0 01) pressure than experimental group,even higher(P<0 01) with the time;In follow up research,experimental group is better than control group in duration of pain,numbne^ss number Conclusion:Modified position can prevent postoperation complication
出处
《齐鲁护理杂志》
2000年第4期244-245,共2页
Journal of Qilu Nursing
关键词
截石位
并发症
预防
Lithotomy position
Complication
Prevention
