摘要
目的探讨阶段性体位管理对甲状腺手术体位综合征及椎动脉血流动力学的影响。方法选取我院2017年3月～2018年3月收治的甲状腺肿瘤患者91例,按掷币法分为两组,对照组45例行常规干预,实验组46例实施阶段性体位管理,观察比较两组患者体位综合征发生率与手术前后椎动脉血流动力学指标。结果实验组患者的手术体位综合征发生率为19.57%低于对照组的53.33%,术后两侧椎动脉血流量与平均血流速度均优于对照组(P<0.05)。结论甲状腺手术患者行阶段性体位管理,可有效降低手术体位综合征发生率,优化椎动脉血流动力学指标,临床效果显著,值得推广应用。
Objective The effect of stage position management on postural syndrome of thyroid surgery and vertebral artery hemodynamics.Methods A total of 91 patients with thyroid tumors from March 2017 to March 2018 were enrolled.By the coin-throwing method,they were divided into two groups.The control group (45 cases)received routine intervention,and the experimental group(46 cases) used stage-level position management.The incidence of postural position syndrome and vertebral artery hemodynamics before and after surgery were observed and compared.Results The incidence rate of surgical position syndrome in the experimental group(21.73%) was lower than that in the control group (48.88%).The blood flow (fv) and mean blood flow velocity (Vm) of the vertebral artery were better than the control group ( P < 0.05).Conclusion The application of stage position management in thyroid surgery can effectively reduce the incidence of surgical position syndrome and optimize the hemodynamic parameters of vertebral artery.The effect is significant and worth promoting.
作者
杨东静
YANG Dong-jing(Department of Breast Surgery,Hebi City People's Hospital,Hebi City,He nan Province,458030,China)
出处
《蛇志》
2019年第1期59-60,共2页
Journal of Snake
