摘要
目的比较两种体位安置方法对妇科腹腔镜手术患者的影响。方法选择妇科腹腔镜手术成人患者40例，随机分成两组：传统组患者安置手术体位为截石位；改良组患者取平卧位，两侧髋关节外展，双下肢水平分开100～110°。记录体位调整15min后的心率、无创血压、心电图、血氧饱和度、气道峰值、呼气末二氧化碳分压以及随访术后24h内不适主诉发生率。结果两组患者血压、心率、血氧饱和度、呼气末二氧化碳分压无差异（P〉0．05），气道峰值及24h内不适主诉发生率传统组高于改良组（P〈0．05）。结论改良组体位安置方便，术中手术野暴露满意，可以预防和减少传统手术体位引起的并发症，从而提高手术安全性。
Objective To compare the effect of two different operation positions on patients undergoing gynecologic laparoscopy. Methods Forty patients who were to undergo gynecologic laparoscopy were evenly randomized into two groups. Twenty patients in the traditional group adopted lithotomy positions and another 220 in the improved （modified） group with prostration abduce of hip joints and separating 100- 110° of both lower extremities on level. Data collection included SBP, DBP, MAP, HR, PPEAK, SpCh and PETCOa at 15rain after position and incidence of chief complaint during 24 hours after operation. Results There was no statistical difference in SBP, DBP, MAP, HR, SpO2 and P ETCO2 between the two groups（all P 〉0.05）. PPEAK and incidence of chief complaint of the traditional group were higher than those of the improved （modified） group （P 〈 0.05）. Conclusion It is suggested that the improved position can achieve satisfactory exposure during operation and reduce incidence of severe adverse effect.
出处
《实用临床医药杂志》
CAS
2011年第22期149-150,共2页
Journal of Clinical Medicine in Practice
关键词
妇科
腹腔镜
体位
手术护理
gynecology
laparoscope
position
operative nursing
