摘要
目的探讨侧卧位手臂支架在骨折牵引体位手术中的应用效果。方法选取2012年6月至2013年6月本院收治的100例结合骨折牵引体位手术患者,按入院先后分为观察组和对照组,各50例。对照组采用传统棉被垫高肢体,观察组麻醉前胸壁下方垫一小软枕,麻醉后根据病变位置双手曲置面前呈睡眠状;两腿前后上腿屈膝,下腿伸直;胸腹部及背部用缚带固定髋部、膝部。比较两组患者生命体征、肢体稳定度、麻醉穿刺时间、麻醉一次穿刺成功率。结果观察组摆放法平均手术时间短于对照组,观察组体位性损伤并发症发生率明显低于常对照组,且患者满意度更高,差异具有统计学意义(P<0.05)。结论采用侧卧位手臂支架具有牢固和稳定的特点,可显著提高手术操作的便利性,提高患者满意度,降低术后并发症。
Objective To investigate the lateral arm bracket in traction application position surgery. Methods From June 2012 to June 2013,100 patients who underwent combined fracture traction operation in our hospital were divided into observation group and control group, 50 cases each. In the control group, patients limbs were raised by traditional cotton quilt. In the observation group, a small soft pillow was placed under patients chest wall before anesthesia. After anaesthesia,the patients were sleeping in front of the two hands according to the position of the lesion;the legs were flexed on the legs,the lower legs were straightened,and the hip and knee were fixed by the back,chest and abdomen. The vital signs, the stability of limbs, the time of anesthesia puncture and the success rate of one-time anesthesia puncture were compared between the two groups. ResultsThe average operation time of the observation group was shorter than that of the control group. The incidence of postural injury complications in the observation group was significantly lower than that in the control group, and the patient satisfaction was higher(P<0.05). Conclusion The lateral position arm stent is reliable and stable, which could improve the convenience of operation, improve the satisfaction of patients and reduce the postoperative complications.
出处
《大医生》
2018年第4期33-34,共2页
Doctor
关键词
侧卧位手臂支架
骨折
牵引体位
手术
应用
lateral position arm bracket
fracture
traction position
operation
application
