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中国当代医药  2022, Vol. 29 Issue (9): 58-61    
  临床研究 本期目录 | 过刊浏览 | 高级检索 |
充气式高分子凝胶体位垫设计与截石位手术的应用研究
高园艳 李 珍▲
赣南医学院第一附属医院麻醉手术中心,江西赣州 341000
Application study of inflatable polymer gel body position pad design and lithotomy position surgery
GAO Yuanyan LI Zhen▲
Anesthesia and Operation Center, the First Affiliated Hospital of Gannan Medical College, Jiangxi Province, Ganzhou 341000, China
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摘要 目的 探讨充气式高分子凝胶体位垫在截石位手术中的应用效果。方法 回顾性分析2020年1月至6月于赣南医学院第一附属医院100 例行截石位手术的患者资料,按其应用的体位垫分为对照组和研究组,每组各50 例。对照组使用常规棉布体位垫,研究组使用充气式高分子凝胶体位垫。比较两组的血流动力学指标[中心静脉压(CVP)、收缩压(SBP)、舒张压(DBP)]、Braden 压疮评分、视觉模拟评分法(VAS)评分、压疮、不良反应发生情况及舒适度。结果 术后,研究组的CVP 水平高于对照组,而SBP、DBP 水平低于对照组,差异有统计学意义(P<0.05)。研究组的Braden 评分高于对照组,而VAS 评分低于对照组,差异有统计学意义(P<0.05)。研究组的压疮总发生率为4.00%,低于对照组的16.00%,差异有统计学意义(P<0.05)。研究组的不良反应发生率为6.00%,低于对照组的20.00%,差异有统计学意义(P<0.05)。研究组的舒适度为98.00%,高于对照组的84.00%,差异有统计学意义(P<0.05)。 结论 在截石位手术中应用充气式高分子凝胶体位垫,并设计好体垫的放置,不但能减少压疮的发生,还能稳定患者的血流动力学指标,提高患者的舒适度,减少不良反应的发生。
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高园艳
李珍
关键词 充气式高分子凝胶体位垫截石位手术压疮舒适度不良反应    
Abstract:Objective To investigate the application effect of inflatable polymer gel body position pad in lithotomy position surgery. Methods The data of 100 patients who underwent lithotomy position surgery in the First Affiliated Hospital of Gannan Medical College from January to June 2020 were retrospectively analyzed, and they were divided into the control group and the study group according to their position pads, with 50 patients in each group. The control group used conventional cotton position pad, and the study group used inflatable polymer gel body position pad. The hemodynamic indexes (central venous pressure [CVP], systolic blood pressure [SBP], and diastolic blood pressure [DBP]), Braden pressure sore score, visual analog scale (VAS) score, pressure sore and the occurrence of adverse reactions and comfort level of the two groups were compared. Results After operation, the levels of CVP, SBP and DBP in the study group were higher than those in the control group, the differences were statistically significant (P<0.05). The Braden score of the study group was higher than that of the control group, while the VAS score of the study group was lower than that of the control group, the differences were statistically significant (P<0.05). The total incidence of pressure sore in the study group was 4.00%, which was significantly lower than that of 16.00% in the control group, the difference was statistically significant (P<0.05). The incidence of adverse reactions in the study group was 6.00%, which was lower than that of 20.00% in the control group, the difference was statistically significant (P<0.05). The comfort degree of the study group was 98.00%, which was higher than that of 84.00% of the control group, the difference was statistically significant (P<0.05). Conclusion The application of inflatable polymer gel body position pad in the operation of lithotomy position and the placement of body pads can not only reduce the incidence of pressure sore, but also improve the hemodynamics of patients, improve the comfort of patients,and reduce the occurrence of adverse reactions.
Key wordsInflatable polymer gel body position pad;Lithotomy position    Operation    Pressure sore    Comfort degree    Adverse reaction
    
基金资助:江西省赣州市指导性科技计划任务(GZ2018ZSF 070)。
通讯作者: 李珍(1970-),女,护士长,主任护师,研究方向:外科护理学、护理管理。   
引用本文:   
高园艳;李珍. 充气式高分子凝胶体位垫设计与截石位手术的应用研究[J]. 中国当代医药, 2022, 29(9): 58-61.
GAO Yuanyan;LI Zhen. Application study of inflatable polymer gel body position pad design and lithotomy position surgery. 中国当代医药, 2022, 29(9): 58-61.
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