付世裕
【[摘要] 目的 分析女性患者接受腹腔鏡手術(shù)中采取改良截石位擺放護(hù)理干預(yù)的臨床效果。方法 該次研究方便選取2018年1月—2019年5月于該院接受婦科腹腔鏡手術(shù)治療的患者120例作為觀察對(duì)象,根據(jù)抽簽結(jié)果分為觀察組與對(duì)照組,對(duì)照組患者術(shù)中采取傳統(tǒng)膀胱截石位擺放護(hù)理干預(yù),觀察組患者術(shù)中采取改良截石位擺放護(hù)理干預(yù),評(píng)估并對(duì)比兩組患者相關(guān)指標(biāo)差異,統(tǒng)計(jì)并計(jì)算各組患者出現(xiàn)并發(fā)癥的概率。結(jié)果 觀察組患者舒適度評(píng)分(8.52±1.22)分、術(shù)野暴露評(píng)分(8.95±1.04)分明顯優(yōu)于對(duì)照組,同時(shí)手術(shù)平均用時(shí)(2.2±0.5)h、術(shù)后首次下床時(shí)間(1.02±0.56)d短于對(duì)照組(t=9.47、9.04、4.79、7.04,P<0.05)。觀察組患者術(shù)后出現(xiàn)并發(fā)癥的概率(1.67%)較對(duì)照組(20.00%)相比更低(χ2=10.44,P<0.05)。結(jié)論 婦科腹腔鏡手術(shù)期間輔以改良截石位擺放護(hù)理干預(yù)效果更佳,可提高術(shù)野質(zhì)量與患者舒適度,降低術(shù)后并發(fā)癥。
[關(guān)鍵詞] 改良截石位;婦科;腹腔鏡手術(shù);擺放;護(hù)理
[中圖分類號(hào)] R766? ? ? ? ? [文獻(xiàn)標(biāo)識(shí)碼] A? ? ? ? ? [文章編號(hào)] 1674-0742(2020)03(a)-0163-03
Placement and Nursing of Improved Lithotomy Position in Gynecological Laparoscopic Surgery
FU Shi-yu
Operating Room of Xuyu People's Hospital, Huai'an, Jiangsu Province, 211700 China
[Abstract] Objective To analyze the clinical effect of nursing interventions for female patients with improved lithotomy position during laparoscopic surgery. Methods In this study, 120 patients who underwent gynecological laparoscopic surgery in the hospital from January 2018 to May 2019 were convenient selected as observation objects. They were divided into observation group and control group according to the results of the draw. The control group adopted nursing intervention for lithotomy position placement. Patients in the observation group were treated with modified lithotomy placement nursing intervention during the operation. The differences in relevant indicators between the two groups of patients were evaluated and compared, and the probability of complications in each group was calculated. Results The comfort score (8.52±1.22)points and the field exposure score (8.95±1.04)points of the observation group were significantly better than those of the control group. At the same time, the average operation time (2.2±0.5) h and the first time to get out of bed (1.02±0.56) d was shorter than the control group (t=9.47, 9.04, 4.79, 7.04, P<0.05). The probability of postoperative complications in the observation group (1.67%) was lower than that in the control group (20.00%)(χ2=10.44, P<0.05). Conclusion Nursing intervention with improved lithotomy placement during gynecological laparoscopic surgery is more effective, it can improve the quality of the surgical field and patient comfort, reduce postoperative complications, and is worth promoting vigorously.
[Key words] Improved lithotomy position; Gynecology; Laparoscopic surgery; Placement; Nursing
該文研究結(jié)果顯示,觀察組患者術(shù)后出現(xiàn)并發(fā)癥的總概率1.67%明顯低于對(duì)照組20.00%(χ2=10.44,P<0.05)。該研究結(jié)論與唐婉等[12]人發(fā)表的文章結(jié)論觀察組患者并發(fā)癥總發(fā)生率6.67%低于對(duì)照組相一致。
綜上所述,婦科腹腔鏡手術(shù)期間輔以改良截石位擺放護(hù)理干預(yù)效果更佳,可提高術(shù)野質(zhì)量與患者舒適度,降低術(shù)后并發(fā)癥。
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(收稿日期:2019-12-07)