摘要
目的研讨神经外科术后疾病护理中侧卧位、侧俯卧位护理的实施及效果。方法以2017年6月-2019年6月在本院接受神经外科手术的80例患者为例,并随机分为两组,各40例。对照组予以传统侧卧位护理,试验组予以侧俯卧位护理,比较两组的护理成效。结果对照组体位摆放后10 min的平均动脉压(12.18±2.14)kPa,心率(80.53±7.39)次/min,与试验组的平均动脉压(12.30±2.05)kPa和心率(80.45±7.33)次/min比较,差异均无统计学意义(P> 0.05)。试验组发生耳廓损伤、压疮与臂丛神经损伤的概率依次为5.0%、2.5%和0,较对照组的22.5%、20.0%和15.0%更低,差异均有统计学意义(P <0.05)。结论在神经外科术后护理中开展侧卧位、侧俯卧位护理均能够维持患者生命体征的稳定,但侧俯卧位护理相对利于减少各种并发症的发生,值得推荐。
Objective To study the implementation and effect of lateral and lateral prone position nursing in neurosurgical postoperative care.Methods Eighty patients who underwent neurosurgery in our hospital from June 2017 to June 2019 were randomly divided into two groups,40 cases in each group.The control group was treated with traditional lateral position and the experience group was given lateral prone position care,compared the effectiveness of the two groups of care.Results The mean arterial pressure and heart rate of the control group were(12.18±2.14)kPa and(80.53±7.39)times/min,10 minutes after placement,compared with the experience group’s[(12.30±2.05)kPa and(80.45±7.33)times/min],the differences were statistically significant(P>0.05).The incidence of auricular injury,pressure sore and brachial plexus injury in the experience group were 5.0%,2.5%and 0 respectively,which were lower than 22.5%,20.0%and 15.0%in the control group(P<0.05).Conclusion The lateral and lateral prone position nursing in the postoperative nursing of neurosurgery can maintain the stability of the patient's vital signs,but the lateral prone position nursing is relatively conducive to reducing the occurrence of various complications,it is recommended.
作者
刘清花
LIU Qinghua(Department of Surgery,People's Hospital of Lingcheng District,Dezhou City,Dezhou Shandong 253500,China)
出处
《中国卫生标准管理》
2020年第23期155-157,共3页
China Health Standard Management
关键词
神经外科
术后疾病护理
体位护理
侧卧位
侧俯卧位
效果
neurosurgery
postoperative disease nursing
position nursing
lateral position
lateral prone position
effect
