摘要
目的探究分析改良式截石位护理模式在妇科腹腔镜手术患者中的应用效果。方法选取100例行妇科腹腔镜手术治疗患者,按照随机数字表法将患者分为对照组与观察组,各50例。对照组采取常规体位护理(常规截石位),观察组采用改良体位护理(改良式截石位)。比较两组患者体位摆放时间、术中出血量、手术时间、舒适度、血压、眼压变化情况及术后并发症发生情况。结果观察组体位摆放时间长于对照组,手术时间短于对照组,术中出血量少于对照组,舒适状况量表(GCQ)评分低于对照组,差异有统计学意义(P<0.05)。摆放前,两组患者收缩压(SBP)、舒张压(DBP)、眼压水平比较,差异无统计学意义(P>0.05);摆放后,观察组患者SBP、DBP、眼压水平均低于对照组,差异有统计学意义(P<0.05)。观察组患者并发症发生率2.00%低于对照组的14.00%,差异有统计学意义(P<0.05)。结论在妇科腹腔镜手术围术期中采用改良式截石位护理能稳定患者血流动力学,提高护理舒适度,安全性较高,值得推广。
Objective To explore and analyze the application effect of modified lithotomy position nursing mode in gynecological abdominal surgery patients.Methods 100 gynecological abdominal surgery patients were selected and divided into control group and observation group according to random number table method,with 50 cases in each group.The control group received conventional postural nursing(conventional lithotomy position),and the observation group received improved postural nursing(modified lithotomy position).The perioperative abdominal position time,intraoperative blood loss,operative time,comfort level,changes in blood pressure and intraocular pressure,and postoperative complications were compared between the two groups.Results The observation group was longer than the control group,the operation time was shorter,the intraoperative blood loss was less than the control group,and the score of comfort status scale(GCQ)was lower than the control group,the difference was statistically significant(P<0.05).Before placement,there were no significant differences in systolic blood pressure(SBP),diastolic blood pressure(DBP)and intraocular pressure between 2 groups(P>0.05).After placement,SBP,DBP and iOP levels in observation group were lower than those in control group,and the difference was statistically significant(P<0.05).The complication rate of observation group was 2.00%lower than that of control group(14.00%),and the difference was statistically significant(P<0.05).Conclusion The modified lithotomy position nursing during perioperative period of gynecological abdominal surgery can stabilize the hemodynamics of patients,improve the comfort of nursing,and have high safety,which is worth popularizing.
作者
张丹
Zhang Dan(Operating Room,Changzhou Maternal and Child Health Hospital,Changzhou 213000,China)
出处
《实用妇科内分泌电子杂志》
2022年第22期98-100,共3页
Electronic Journal of Practical Gynecological Endocrinology
关键词
改良式截石位护理
妇科
腹腔镜手术
血压
舒适度
并发症
Modified lithotomy nursing
Gynecology
Abdominal surgery
Blood pressure
Comfort level
Complication
