摘要
目的探讨改良式肩部约束带在妇科腹腔镜手术体位摆放中的应用效果。方法选取妇科132例行腹腔镜手术治疗的患者,随机分为观察组和对照组,各66例。对照组采用传统肩部约束带进行约束固定,观察组采用改良后肩部约束带进行约束固定。比较2组体位摆放前后收缩压、舒张压、心率变化,记录2组术后皮肤红斑和疼痛发生情况。结果体位摆放后观察组血压和心率的变化幅度较对照组小,差异有统计学意义(P<0.05)。观察组皮肤红斑发生率低于对照组(P<0.05),且疼痛程度较对照组轻(P<0.05)。结论改良肩部约束带能够减轻妇科腹腔镜手术患者体位变化对患者血压和心率等体征的影响,对预防皮肤红斑、减轻肩部疼痛有良好的作用。
Objective To investigate the value of modified restraint straps in management of operative position in patients undergoing gynecological laparoscopic operation. Methods Totally 132 patients undergoing gynecological laparoscopic operation were randomly divided into the observation group and the control group, with 66 cases in each group. The common shoulder straps were used for patient restraint in the control group, and the modified restraint straps were used in the observation group. The changes in systolic pressure, diastolic pressure and heart rate were measured before and after placing the patient in the operative position. The occurrence of skin erythema and pain induced by position constraint were observed. Results There were small increases in systolic pressure, diastolic pressure and heart rate in the observation group than those in the control group(P<0.05). The incidence of skin erythema in the observation group was lower than that in the control group(P<0.05). Patients in the observation group had a lower level of pain induced by position constraint compared with those in the control group(P<0.05). Conclusion The modified restraint strap has less impact on the blood pressure and heart rate of patients undergoing gynecological laparoscopic operation. It may also has a preventive effect on skin erythema and pain induced by position constraint.
作者
殷旭婷
李蓓
YIN Xuting;LI Bei(Operating Room,Zhenjiang Maternal and Child Health Hospital,Zhenjiang,Jiangsu,212001;Department of Neurosurgery,Zhenjiang Maternal and Child Health Hospital,Zhenjiang,Jiangsu,212001)
出处
《中西医结合护理（中英文）》
2019年第12期89-91,共3页
Journal of Clinical Nursing in Practice
关键词
腹腔镜
手术体位
肩部约束带
血压
心率
疼痛
laparoscope
operative position
shoulder restraint strap
blood pressure
heart rate
pain
